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T, pu y .1 r: ,,, a 4(j,. , �, ,S�x a.Iv S': r y,� ,h a:io, r, ,:o µ r' i .f 8. p: , " :h .:., 11 Yxf r, �a} .mM r. Aet t 'H M. tI#r`I r 0 ",r t+'I,r'. :•!, JMd, r.� J a ,'Yry" 't 4t1, J•�V t£.�'G 4g ,, y. ,� 7' # r . 4Y, "� rt a a , t K ' P,r r YI ra f ,y a.1 p u , , WEQUAQUET I CERTIFY THAT THE EXISTING LAKE CONCRETE FOUNDATION IS EDGE WATER LOCATED ON THE GROUND AS 8\25\93 INDICATED ``''IC�",,' OLD 3���L �4——_�a'`��—� ——— POST DATE PROFESSIONAL LAND SURVEYOR IRON EXISTING FND PIPE CONCRETE FND FOUNDATION DANIEL D. O'NEILL P.L.S. J I+ BOX 307, 36 PUTTER LN. WEST HYANNISPORT, MA 02672 co 34.0' � EXISTING N CB r-j FNDN �P�tw OF P4-4 FND \ o �� DANIEL oy 34.0 0DAVID rn O'NEILL -+ 30.5 ° W 34622 Ess%o v�, quo s k�°P ry LLJ o AREA 0 19600 S.F. Q.± v I+ .LEGEND cn o6 129 (M)= MEASURED '5 °' LOOMIS LANE (P)= PLAN Q CENTERVILLE N R = 32.00' o L = 71 .62' z Q w w OLD E POST z IRON •� 6��P ), FIND CB I PIPE 4� FND ' FND ANE R =_ -63.29' S woE L - 34.98' CERTIFIED PLOT PLAN L Zo' 129 LOOMIS LANE y IN CENTERVILLE, MASS 30 15 0 30 0 j, FOR SCALE 1 " = 30' RICHARD & LAURIE COHEN in Application numbe ... .........1.. �. ... ...�.�. Fee .................. .. ...K ........................... Building Inspectors Initials.. ................................ ` �SEP ,j o 20 T! miAl r-� �� .y Date Issued.......'l/�°�o. ................................ 8/VSI BLF- Map/Parcel.. ....:. .............I U .................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION CPROPERTY INFORMATION Address of Project: 1 , °� WIV C V I CU) 1D Y Wjicyvi 0 1 NUMBER STREET VILLAGE Owner's Name: Phone Number-AQ?? q91 3 455 Email Address: Lada-, - � �rCellhone Number _ya Q- 01 P Project cost$ /1 006 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ® iding ewindows (no header change)# I tl 0 Insulation/Weatherization Doors(no header change)# Commercial Doors require an inspector's review Q Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractorslegistration(if applicable)# (attach copy) ,.Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR 1F THE SUBJECT PROPERTY IS IN • R ne Wr ftfw 0%IA-1-MO-r WO%#I•II IPr/►nrw/A/ w nnnm/A/ nBCAnC w nrnuRr.-w a nr OPPE Ire+ APPLICATION NUMBER............................................................ t *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>.Yes No ,if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'_S.LICENSE EXEMPTION -� Homeowner's Name: 4 I� Telephone Number Cell or Work number. I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. ►-Signature- _ �X-14 DateQ. ' APPLICANT'S SIGNATURE Signature'�- Date 0? ,7j� 4300 All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 0., 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly -Name (Business/Organization/Individual): elpty Scyr f Address U City/State/Zip: � Ii Phone#: 4 5' Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.# �equired.] -5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3 Ltd l am a'homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL ' 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct C`. Si ature:. Date:- Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M l Information and Instructions t� Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Luvestigarions 600 Washington Sheet Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia s" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �1 2 Map Parcel d, 00000D Application #��� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis �ta�l Project Street Address 11. LYnm Is LA. (94e�-_vi1 IL �� O Village as Owner ��m('i ,Czh�!� Address Telephone� � Permit Request -IA3 0-�I'Da o� ri s-tSe, cjrA C(NA0, (t-,_M011_AJ. 0kriA -k,,J PV 4��P,m Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1r Cad Construction Type PV b��sleM Lot Size V 1 03 S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family W( Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ® No On Old King's Highway: ❑Yes g No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other 8 03 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:0 Yes-❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existingl ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 0 (Y) Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ; Ui Commercial ❑Yes ❑ No If yes, site plan review # m Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Llat\ b(0 Y 1 %411Ae, S01cF ,Telephone Number 3 aT3 5T 3 1 1 l Address License # )" nalR 'I 7 "n�U� 0),10 I Home Improvement Contractor# Email ,u M� S vl)nQ,Ch c��, n� Worker's Compensation # V w C-0-LN 933U6A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 31S M a4 1:L\1 1&4 ArIP-' 0�feC, SIGNATURE °J DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 ti Skyline Solar HOMEOWNERS AUTHORIZATION FORM Addendum to Contract I, Laurie Cohen (print name) am the owner of the property located at address: 129 Loomis Ln, Centerville, 02632 (print address) I hereby authorize Skyline Solar to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System located on my Property. Customer Signature: Electronic Signature Accepted/Addendum to Contract 1/23/2017 Date: Sign Name: `/ Skyline Solar LLC 4 Crossroads Drive Suite 116 Hamilton,NJ 08691 HIC - 13VH0613060 Connecticut Office 121 E North Plains Industrial Rd. Wallingford, CT 06457 HIC.0632594 Massachusetts Offices 95 Ryan Drive Suite 3 35 Mill Street Central Raynham, MA 02767 Marlborough, MA 01752 HIC -172284 CS-02747 DEBRIS DISPOSAL AFFIDAVIT In accordance with the provisions of M.G.L. c. 40, s. 54, Building Permit # was issued with the condition that all debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L c. 111, s. 150A. The debris will be disposed of in: E.O.M.S Name of Waste Facility 318 Manley Street West Bridgewater, MA 02720 Address of Waste Facility 111.5 Debris: As a condition of issuing a permit for the demolition, renovation, rehabilitation or other alteration of a building or structure, M.G.L. c. 40 s. 54 requires that the debris resulting therefrom shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L.c. I I I s. 150 A.Signature of the permit applicant, date and number of the building permit to be issued shall be indicated on a form provided by the Building Department and attached to the office copy of the building permit retained by the Building Department. If the debris will not be disposed of as indicated, the holder of the permit shall notify the building official, in writing, as to the location where the debris will be disposed. 780 CMR—61h Edition I Oi"g �reofermit Applicant 1/23/17 Date ' v P The Commonwealth of Massachusetts Department of Industrial Accidents a I Congress Street,Suite 100 Boston,MA 02114-2017 d1 5y0 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Skyline Solar LLC _. Address: 95 Ryan Dr. Suite 3 City/State/Zip: Raynham MA 02767 Phone #: 7233543111 Are you an employer?Check the appropriate box: Type of project(required): I. am a employer with 60 em o employees u and/orpart-time).* ❑It flld/ (p y 7. ❑New COI1StrUCtlOn 2.❑I am a sole proprietor or partnership and have no employees working for me in $. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required:]t 9. El Demolition 10❑Building addition 4. I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs Or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.:insurance? 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.No workers'comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AIM Mutual Company Policy#or Self-ins.Lic.#: VWC-100-6018336-2016A. Expiration Dater 3/8/2017 Job Site Address:129 Loomis Ln, Centerville, 02632 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for:insurance coverage verification. I do hereby certi under the pal and penalties of perjury that the information provided above is true and correct. 1/23/2017 Signature: W Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City orTown: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts Department of Public Safety Board of Suilding Regulations and Standards License:tS4W847 t Construction Supervisor P1d8Jp J CHOUINARf) , 79 OAK ST..UNif 9 ASHLANO MA 017Xi' ..ti► CA, �tplratlan�. Commissioner 11f04R017 f � �z-tc�et!r� -t, o �> r- l ' Pamfi � onsumer A�i'airs 0 bus ness e u)tafion g 14 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home-Improvement Gontractor Registration Registration: 172284 ,. Type: Supplement Card SKYLINE SOLAR, LLC. A Expiration: srrrtota r- PHILIP CHOUINARD - 4 CROSSROADS DRIVE SUITE 116. HAMILTON, NJ. 08691 _ ,Q Update Address and return card.A1ark reason for change. SCA i r. 20rr.osru Address . Renewal Employment Lost Cord ,\ .. a:7z, ` dice orCoasumer strip&urslness Ftceulaiioa License or registration valid for individual use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ` office orConsumer Affairs and Business Regulation 'Registration:-172284 Type: 10 Park Plaza-Suite 5170 Expiratlon: BR/2018 Supptemeni.Cani Boston,MA 021 16 SKYLINE SOLAR,LLC~' t r �' PHILIP CHOUINARO ^3 4 CROSSROAbS DRIVE SUITE 11 I'iAMILTON,,NJ 08891 Undersecretary lYot Vail without signature Office of Consumer Affairs and. Business Regulation 10 Park Plaza - Suite 5170 Boston Massachusetts 02116 Home ImprovementContractor Registration Type: LLC RRegistration: 172284 z (-T Skyline Solar, Lic. Expiration: 0610612018 4 Crossroads Drive Suite 116 > Hamilton, NJ 08691 I Sri 4�w update Address and return card. Mark reason for change. . scn1 G 20M-05111 Lt.Address 0 Psnay.!g.n Em!21oyrner.t C! !-astCard r /r• lfw r���rii�r�►ra�alf�a� l�trur�c�useffs ., office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only- before the expiration date. if found return to.. Type: Ll.0 •• ti Office of Consumer Affairs and Business Regulation R2 istration Eoiratlon t I' 17�84 06/06/2018 10 Park Plaza-Suite 5170 Boston,MA 02116 I' i Skyl'ale Solar, Lk Ryan Lane �y ` 4 Crossroads or w�e S ude 1;16r �\ ' Hamilton,J+:.] 08 ti U t Undersecretary . Not valid without signature CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDJYYYY) 12/15/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTrND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: The Hamilton Group, LLC PHONE FAX 3 Wing Drive E-MAIL Ext:973-292-2292 A/c No): Cedar Knolls NJ 07927 ADDRESS: INSURER(S)AFFORDING COVERAGE -NAIC A INSURER A:Selec ive Ins Co of the S.East 39926 INSURED SKYLI-3 INSURER B:Indemnity Ins. Co. of North Am Skyline Solar LLC INSURER C y 33758 Skyline Solar RI, Inc. INSURERD: 95 Ryan Drive Suite 3 I Raynham, MA02767 INSURERE: :�A INSURER F: COVERAGES CERTIFICATE NUMBER: 1443777791 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES:OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER - MWDD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY S 2106548 2/6/2016 2/6/2017 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $100,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GENT AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $3,000,000 JECT POLICY[X7 PRO- X . LOC $ A AUTOMOBILE LIABILITY A 9093015 2/24/2016 2/24/2017 U accident $1,000,000 (EaANY AUTO BODILY INJURY(Per person) $ ALL OWNED Ix SCHEDULED. AUTOS AUTOSBODILY INJURY(Peraccdent)X HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident B UMBRELLA LIAB X OCCUR N10911138001 10/11/2016 10/11/2017 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X I RETENTION$10,000 $ C WORKERS COMPENSATION VWC-100-6018336-2016A 3/8/2016 3/8/2017 WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y(N - - E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Installation Floater S 2106548 2/6/2016 2/6/2017 Any One Occurrence $100,000 Property Contents $104,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Policy No. S2106548 (General Liability & Property) - CT, MA, NY & RI Policy No. A9093015 (Automobile) - MA Policy No. N10911138001 (Excess Liability) CT,_ NJ, NY, MA & RI This Certificate does not afford coverage for Additional Insureds. The Certificate is only evidence of insurance coverage for the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence Of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD structural ENGINEERS January 19, 2017 Sungevity 66 Franklin Street Oakland, CA 94607 Attn.:To Whom It May Concern - - - re:Job 2017-00323 : Laurie Cohen -3108596 The following calculations are for the structural engineering design of the photovoltaic panels located at 129 Loomis Lane, Centerville, MA 02632.After review, PZSE, Inc.: certifies that the roof structure has sufficient structural capacity for the applied PV loads. If you have any questions on the above,do not hesitate to call. �P�ZN OFIN,,9 PAULK. . c'yG Prepared By: ZACHER . PZSE, Inc. -Structural Engineers STRUCTURAL co No.5,0100 msozas . . Roseville, CA r �FSS�ONAIENG 8150 Sierrd College Boulevard,Suite 150, Roseville, CA 95661 0 uate: i/ iwzu l tl engineer: ur Gravity Loading Roof Snow load Calculations pg=Ground Snow Load= 30 psf Ce=Exposure Factor= 0.9 (ASCE7-Table 7-2) Ct=Thermal Factor= 1.1 (ASCE7-Table 7-3) I=Importance Factor= 1 pf=0.7 CQ Cf I pg 21 psf (ASCE7 Eq 7-1) . where pg<_20 psf,Pf min=I x pg= . N/A where pg>20:psf,Pf min=20 x l= N/A Per ASCE 7-05,minimum values of Pf shall apply to hip and gable roofs with slopes less than the larger of 2.38o and(70/W)+0.5. Therefore,pf=Flat Roof Snow Load= 21 psf p5=Cspt (ASCE7-Eq 7-2) Cs=Slope Factor= 1.000 ARRAY 1 Ps=Sloped Roof Snow Load=... 20.8 psf. ARRAY 1 PV Dead Load=3 psf(Per Sungevity) Roof Live Load=. 19.63 7 psf ARRAY 1 Note:Roof live load is removed in area's covered by PV array. Roof Dead Load:ARRAY 1 Composition Shingle 4.00 Roof Plywood . 1.50 2x8 Rafters @ 16"o.c: 1.49 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.01 M. Total Roof DL ARRAY 1 7.0 psf DL Adjusted to 20 Degree Slope 7.4 psf I 0 vale: v i wzu i/ tngineer: ur- Wind Calculations Per ASCE 7-05 Components and Cladding Input Variables Wind Speed 110 mph Exposure Category C Roof Shape Gable Roof Slope 20 degrees Mean Roof Height 25 ft - Building Least Width 22 ft Effective Wind Area 13.0 sf Roof Zone Edge Distance,a 3.0 ft .. Controlling C&C Wind Zone Zone 3 Design Wind Pressure Calculations - Wind Pressure P=qh*(G*Cp) qh=0.00256* Kz* Kzt* Kd *V^2 * I (Eq_6-15) Kz(Exposure Coefficient)= 0.94 (Table 6-3) . Kzt(topographic factor)= 1 (Fig.5=4) Kd(Wind Directionality Factor)= 0.85 (Table 6-4) V(Design Wind Speed)= 110 mph Importance Factor= 1_ (Table 6-1) qh= 24.7 psf Standoff Uplift Calculations Zone 1 Zone 2 Zone 3 Positive GCp= -0.90 -1.68 -2.58 0.49 Uplift Pressure -22.19 psf -41.66 psf -63.85 psf 12.21 psf Attachment Dead Load= 3.00 psf 3.00 psf 3.00 psf Max Rail Span Length = 4.00 ft 4.00 ft 4.00 ft Longitudinal Length 3.25 ft 3.25 ft. 3.25 ft Attachment_Tributary Area= 13.02 sf 13.02 sf 13.02 sf Footing Uplift= -265 Ib -519 Ib -808 Ib Fastener 6pacity Check Fastener= 5/16 inch Number of Fa steners= 1 Minimum Threaded Embedment Depth= 2.5 Pullout Capacity Per Inch= 205 Ib Fastener Capacity= 820 Ib 820 lb capacity>808.lb demand Therefore,OK uate: a iwzu 1 i tnglneer: ur- Framing Check ARRAY 1 PASS w=42 plf Dead Load 7.4 psf PV Load 3.0 psf Snow Load 20.8 psf 2x8 Rafters @ 16"o.c. SP Member Span=12'-8" Governing Load Comb. DL+SL Note:Attachments shall.be Staggered. Total Load 31.2 psf Member Properties. Member Size S(in A3) 1(in A4) Lumber Sp/Gr Member Spacing 2x8 13.14 47.63 SPF#2 @ 16"o.c: Check Bending Stress Fb(psi)_ f b x Cd x Cf x Cr (NDS Table 4.3.1) 875 x 1.15 x 1.2 x 1.15 Allowed Bending Stress=1388.6 psi Maximum Moment = (wL^2)/8 = 834.311 ft# 10011.7 in# Actual Bending Stress=.(Maximum Moment)/S =761.9 psi Allowed_>Actual -54.9%Stressed == Therefore,OK Check Deflection Allowed Deflection(Total Load) _ L/120 (E=1400000 psi Per NDS) = 1.266 in Deflection Criteria Based on Simple Span Actual Deflection(Total Load) _ (5*w*LA4)/(384*E*I) 0.3 48 in = L/437 < L/120 Therefore OK Allowed Deflection(Live Load) ._ L/180 0.844 in Actual Deflection(Live Load) _ (5*w*LA4)/(384*E*I) 0.241 in L/631 < L/180 .Therefore OK Check Shear 'Member Area= 10.9 inA2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1468 Ib Max Shear(V)=w* L/2 263 lb Allowed>Actual--18%Stressed =- Therefore,OK 0 uaie: inyizu i t tngineer. ur Lateral . 780 CMR Existing Weight.of Effected Building Level Area Weight(psf) Weight(lb) Roof 704 sf 7.4 psf 5210 lb Ceiling 704 sf 6.0psf 4224 lb Vinyl Siding 900 sf 2.0 psf 1800 Ib (16.75'Wall Height Int.Walls 450 sf 1 6.0 psf 2700 lb Existing Weight of Effected Building , . 139341b;, Proposed Weight of PV System Weight of PV System (Per Sungevity) 10 psf Approx.Area of Proposed PV System 282 sf Approximate Total.Weight of PV System 846 lb 10%Comparison 10%of Existing Building Weight(Allowed) 1393 lb Approximate Weight of PV System(Actual) 846 lb Percent Increase 6.1% 1393 lb>846 lb,Therefore OK r,R 1 2 3 4 5 SHEET INDEX PHOTOVOLTAIC SYSTEM PV0.0 COVER AND SITE PLAN PV1.0 GENERAL NOTES UTILITY INFORMATION: PV2.0 ARRAY LAYOUT ' METER NUMBER: 2230405 - PV3.0 LINE DIAGRAM PV4.0 LABELS SYSTEM SIZE: .A AC/DC kW STC: 3.813kW\4.24kW PV5.0 DIRECTORY A KEY: ---- PROPERTY LINE EQUIPMENT: --- CONDUIT RUN INVERTER DC ROOF MOUNTED - DRIVEWAY a SUBPANEL PV MODULES: (16)Trina Solar TSM-265PDO5.05 CONDUIT FENCE Q DC DISCONNECT INVERTER(S): (1)SOIarEdge SE380OA-US FIRE CLEARANCE Q AC DISCONNECT >� STRUCTURAL UPGRADES EI OJUNCTION BOX O SOLAR MODULE ❑ MONITORING UNIT SCOPE OF WORK: v� Q MAIN SERVICE PANEL 0 COMBINER BOX INSTALLATION OF A SAFE AND CODE-COMPLIANT $�c ❑' UTILITY METER ❑ ROOF GRID-TIED SOLAR PV SYSTEM ON AN EXISTING PV METER OBSTRUCTION RESIDENTIAL ROOF TOP. - APPLICABLE CODES: AC ROOF MOUNTED 2017 NEC CONDUIT \ 780 CMR 2009 INTERNATIONAL CODES WITH MA AMENDMENTS O B �\ CONTRACTOR INFORMATION: B SKYLINE SOLAR BRIDGEWATER 95 RYAN DR. RAYNHAM,MA 02767 NO DRIVEWAY � JURISDICTIONAL INFORMATION: r0 l � BARNSTABLE,TOWN OF �pP \ 200 MAIN STREET, HYANNIS,MA.02601 NOTES TO INSTALLER: LOCATION OF(E)MAIN SERVICE PANEL AND(N)FUSIBLE AC \ CHECK CELLULAR CONNECTIVITY FOR MONITORING UNIT,ELSE DISCONNECT INSIDE BASEMENT .. NEED TO USE CAT5I6 CABLE FOR MONITORING. LOOMIS LANE FOR INSTALLER USE ONLY DRIVEWAY ---"'r,. / "-� POST INSTALL SUNEYES REQUIRED? YES I CERTIFY t NAT NO CHANGES H"E C BEEN MADE TO THE ARRAY LAYOUT: CUSTOMER INFORMATION: �!/ ! LOCATION OF(E)UTILITY-7LAURIE COHEN129 LOOMIS LN METER ON PEDESTAL ,,� SITE PLAN N CENTERVILLE,MA 02632 Fir SCALE: N.T.S. (508)397-1360/#3108596 i ry - DESIGNED BY:I REV#: DATE: - YOGESH.Y 1 0 1 1/19/17 PV-0.0 SUHDEVRYINCAS FRANKLIN STSUITE 310OAHIPND.CABDA7 By.OGEBHVADAV Date:--Location:coney 0 56 111 10eet SmA 11.17 THESE DRAWINGS.SPECIFICATIONS.AND DESIGNS PRE THE PROPERTY OF SUNGEWTY INC.NO PART SHALL BE COVIED OR USED FOR OR WITH ANY OTHER WORN OTHER THAN THE SPECIFIC PROJECT FOR WHICH NEY HAVE BEEN DEVELOPED WITHOUT OURWRITTEN CONSENT cr 1 2 3 4 5 GENERAL NOTES. ELECTRICAL NOTES: GENERAL NOTES: El.MAXIMUM VOLTAGE DOES NOT EXCEED 600VDC,AND DC EQUIPMENT SHALL BE RATED FOR AT LEAST 60OVDC. Nl.DRAWINGS ARE DIAGRAMMATIC ONLY.THE LOCATION AND ROUTING OF RACEWAYS SHALL BE DETERMINED BY THE CONTRACTOR UNLESS OTHERWISE NOTED OR E2.ANY EQUIPMENT OR ELECTRICAL MATERIALS USED FOR THIS INSTALLATION SHALL STANDARDIZED. BE NEW AND LISTED BY A RECOGNIZED ELECTRICAL TESTING LABORATORY. N2.IF A DISCREPANCY IN QUANTITY OR SIZE OF CONDUIT,WIRE,EQUIPMENT DEVICES, E3.AN INVERTER IN AN INTERACTIVE SOLAR PV SYSTEM SHALL AUTOMATICALLY A OVERCURRENT PROTECTION,GROUNDING SYSTEMS,ETC.(ALL EQUIPMENT AND DE-ENERGIZE ITS OUTPUT TO THE CONNECTED ELECTRICAL PRODUCTION AND - A MATERIALS)THE CONTRACTOR SHALL BE RESPONSIBLE FOR PROVIDING AND INSTALLING DISTRIBUTION NETWORK UPON LOSS OF VOLTAGE IN THAT SYSTEM AND SHALL ALL MATERIALS AND SERVICES REQUIRED BY THE STRICTEST CONDITIONS IN THE REMAIN IN THAT STATE UNTIL THE ELECTRICAL PRODUCTION AND DISTRIBUTION SPECIFICATIONS OR NOTED ON THE PLANS TO ENSURE COMPLETE COMPLIANCE WITH ALL NETWORK VOLTAGE HAS BEEN RESTORED. CODES AND TO ENSURE THE LONGEVITY AND SAFETY OF THE OPERABLE SYSTEM. E4.ALL PV ARRAYS SHALL BE EQUIPPED WITH DC GROUND FAULT PROTECTION BY N3.ALL OUTDOOR EQUIPMENT SHALL BE MIN.NEMA 311 RATED. INVERTER)(S),AND ARC FAULT PROTECTION IS INVERTER-INTEGRATED. ' N4.METAL CONDUIT AND ENCLOSURES SHALL BE USED WHERE PV SOURCE OR OUTPUT E5.ANY AC COMPONENT SHALL MEET OR EXCEED THE AVAILABLE FAULT CURRENT CIRCUITS ARE RUN INSIDE A BUILDING. CALCULATED AT.THAT COMPONENT. I , N5.MODULES SHALL NOT BE PLACED OVER ANY PLUMBING VENTS AND AT LEAST 6"ABOVE E6.ALL MODULES AND ANY RELATED ROOF MOUNTED METALLIC EQUIPMENT SHALL FLUSH VENTS. BE PROPERLY BONDED AND GROUNDED. - N6.THE ELECTRICAL CONTRACTOR SHALL COMPLY WITH ANY AND ALL REQUIREMENTS E7.ALL WIRE,VOLTAGES,AMPERAGES AND EQUIPMENT IS SIZED ACCORDING TO - GIVEN BY UTILITY COMPANIES. TEMPERATURE DERATING AND LOCATION. N7.FOR ADDITIONAL EQUIPMENT SPECIFICATIONS,SEE PROVIDED CUT SHEETS. E8.ONLY COPPER(CU)CONDUCTORS SHALL BE USED FOR NEW WIRING.CONDUCTORS SHALL BE STRANDED OR SOLID WITH PROPERLY RATED CONNECTORS. N8.ALL NEC REFERENCES SHALL BE DIRECTLY INTERCHANGEABLE WITH CEC REFERENCES. • E9.ALL MODULES AND RACKING SHALL BE GROUNDED VIA UL2703-LISTED RACKING N9.IT IS ILLEGAL FOR ANYONE UNLESS ACTING UNDER THE DIRECTION OF A LICENSED SYSTEMS INTEGRATED GROUNDING(PLEASE SEE DATA SHEET)OR WITH TIN PLATED PROFFESIONAL ENGINEER OR REGISTERED ARCHITECT TO ALTER ANY ITEMS ON THIS PLAN. DIRECT BURIAL RATED LAY IN LUGS USING STAINLESS STEEL HARDWARE,STAR B N10.THE ENGINEER HAS NOT BEEN RETAINED FOR 10B SUPERVISION. WASHERS,AND THREAD FORMING BOLTS. B Nll.ALL OSHA REGULATIONS AND STANDARDS FOR SAFE AND HEALTHFUL WORKING - CONDITIONS TO BE FOLLOWED. N12.ALL CONTRACTORS WORKING ON ROOFS TO BE INSURED AS SUCH. STRUCTURAL NOTES: 51.MOUNTS ARE DIAGRAMMATIC AND EXACT LOCATION MAY CHANGE,BUT SHALL BE ACCURATELY SPACED. S2.MOUNTS SHALL BE STAGGERED WHEN NECESSARY TO EVENLY DISTRIBUTE LOAD - AMONGST RAFTERS. - S3.DO NOT SPLICE RAILS IN MIDDLE 50%OF SPAN BETWEEN TWO MOUNTS. C CUSTOMER INFORMATION: LAURIE COHEN 129 LOOMIS LN CENTERVILLE,MA 02632 (508)397-1360/#3108596 DESIGNED BY: REV#: DATE: PV-1.0 ' - YOGESH.Y 1 0 1 1119/17 SUNOEYRYINC.66 FRANKLIN ST SUITE 3100—ND.CA NG07 By YOGESITYAOAV Dme. Locmion.Conan 3108596 SVI Sh—Slze.1 17 THESE DRAWINGS.SPECIFICATIONS,AND DESIGNS ARE THE PROPERTY OF SUNGEVITY INC.NO PART SHALL BE COPIED OR USED FOR OR WITH ANY OTHER WORK OTHER THAN THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRITTEN CONSENT 1 - 2 3 4: - 5 - - MODULE SPECIFICATIONS SYMBOL KEY: - - (16)Trina Solar TSM-265PD05.05 ------- RAIL - - - - MODULE WEIGHT: 41 - : MODULE LENGTH: 64.96 ———— RAFTERS MODULE WIDTH: 39.05 ROOF .:1' ... ... ..... 9" .. ROOF SPECS FIRE CLEARANCE 32'11" _ RAFTER SIZE: 2X8 NOMINAL QK..•........:.� STRING CONFIG. - - RAFTER SPAN: 12' 8" RAFTER SPACING:1 16" m s.°.r eIII STRUCTURAL i I i I - I - ROOF MATERIAL: COMPOSITE SHINGLE UPGRADES ARRAY 1 SPECS SOLAR MODULE I 1 { { I I ( I I. I I 1 I 1 I I I' i I I I I I ( NUMBER OF MODULES: 16 q - - C? TOTAL MOD.WEIGHT(lb.): 656 A ® MOUNT _ I RACKING WEIGHT(IbS): 74.9 ARRAY WEIGHT(Ibs): 730.9 ® I I 281.9SKYLIGHT ) I 1 1 I I I ® CHIMNEY I I ( i I I I I ( I i i I i I. I. I ( I I '' ARRAY DEAD LOAD(Ibs/sgft): 2.6 NUMBER OF MOUNTS: 36 PLUMBING OR i I ( I { I I I I I I- I I I I I { I I I ( I ( LOAD PER MOUNT(Ibs): 20.3 ° ATTIC VENT - ARRAYAZIMUTH(') 334 0 ATTIC VENT .:.. I I I OI I € ( ..... ...... ARRAY TILT(") 20 NUMBER OF FLOORS 3 • ( i 7 ( I i i - I I ) { i I I 1 1 1 i i l I I I I I I I I o RRAYLAYOUT 1 SCALE': 3/16"=1'-0" B NOTE: B MODULES SHALL NOT BE GREATER THAN 8 - - - - - - INCHES ABOVE ROOF COVERING ' - - - 5/16"NUT TORQUE: 135 IN.LBS PEGASUS CLAMP - ASSEMBLY - - .... SOLAR MODULE PEGASUS BASE PAUL K. ASSEMBLY c i.. .: .ZACHER n.. __.- .. :. ... ... 0 STRUCTURAL DOCo _ No.50100 COMPOSITE SHINGLE " . .. ASS/ONA% 4.5" X 5/16"-LAG ' � C .c 2.5"MIN.EMBEDMENT PER SCREW - '' q ROOF SECTION - CUSTOMER INFORMATION: .. 3 = .. 2X8 NOMINAL,16 O.C. SCALE: 3/8„ V-0"� - LAURIE COHEN 129 LOOMIS LN CENTERVILLE,MA 02632 (508)397-1360/#3108596 AMOUNTING DETAIL BY: REV#: DATE: PV-2.0 - -. YOGESH.Y 0 1/19/17 IDU—INC.11 FRANULIN ST SUITE 310 OAKI--D.CA 9aW3 BY.YOGESH.YADAV D.—L.—:C— 95SV1S—SIz THESE DRAWINGS.SPECIFICATIONS,AND DESIGNSARE THE PROPERTYOFSUNGEVITY INC.NO PART SHALL BE CONED MUSED FOR OR WITH ANY OTHER WORK OTHER THAN THE SPECIFIC PROJECT FOR—CH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRITfEry CONSENT . 1 2 3 4 5 . MODULE ELECTRICAL SPECIFICATIONS INVERTER I SPECIFICATIONS ELECTRICAL KEY: (16)Thna Solar TSM-265PD05.05 SOLAREDGE SE380OA-US ft BREAKER SHORT CIRCUIT CURRENT INC): 9.1 RATED WATTS(EACH): 3800 �- SWITCH OPEN CIRCUIT VOLTAGE(VOC): 38.3 Al-OPERATING VOLTAGE(V): 240 Q SCREW TERMINAL OPERATING CURRENT(IMP): 8.61. AC OPERATING CURRENT(A): 16 m FUSE OPERATING VOLTAGE(VMP): %8 NUMBER OF MPPT CHANNELS 0 SPLICE MAX SERIES FUSE RATING: 15 INVERTER EFFICIENCY: 0.98 a EARTH GROUND STC RATING: 265 INTEGRATED DC DISCONNECT /7J CHASSIS GROUND PTC RATING: 243.2 INVERTER I INPUT SPECIFICATIONS -—- GEC DESIGN CONDITIONS NOMINAL CURRENT PER STRING(loom): 12.1 EGC HIGHEST 2%OB DESIGN TEMP(°C): 28 NOMINAL VOLTAGE(Vnom): 350 MIN.MEAN EXTREME ANNUAL DB(°C): -16 1 MAX SYSTEM VOLTAGE(Vmax): SOD A - MAX CURRENT PER STRING(Imax): t5. A MAX INPUT CIRCUIT CURRENT([max): 15 N (3)#10 THWN-2 (3)#10 THWN-2 (3)#1O THWN-2 (3)#6 THWN-2 METER NUMBER:2230405 (2)#10 PV-Wire (2)#10 THWN-2 (1)#8 GEC (1)#8 GEC (1)#8 GEC (1)#8 GEC (1)#10 EGC (1)#10 EGC 3/4"EMT 3/4"EMT 3/4"EMT 3/4"EMT FREE AIR 3/. EMT METER AC DISCONNECT, (N)SE3800A-US 30AMP, AC DISCONNECT, SUPPLY SIDE CONNECTION WITH INVERTER W/INTEGRATED NON-FUSIBLE, 60AMP,FUSIBLE, POLARIS BLOCK OR SIMILAR CUTLER-HAMMER CUTLER-HAMMER, 250VAC RATED UL LISTED AND DC DISCONNECTS DG221URB DG222NRB APPROVED CONNECTOR -——— G——— 1 STRING OF + -AC LOCUS 20A FUSE T OOA AI 16 MODULES OPT.CURRENT=12.11A DC OUTPUT METER LOAD LINE - LOAD LINE -------- _______ fE�___ ___ _� _ ___ B I (E)100A Square D MSP INVERTER j 240V 2P 3-W tip I I - LJI �I y �IF APPLICABLE) MIN.NEMA3R UL LISTED JUNCTION BOX WITH 90"C TERMINAL RATINGS GEC IRREVERSIBLY SPLICED TO EXISTING GEC OR BONDED DIRECTLY LOCATED ON ROOF 70 EXISTING GROUNDING ELECTRODE C Inom=(16 x 265W)/350V=12AA CONDUIT ELEVATION:1/2 TO 3-1/2"=22°C 16 MODULES TOTAL OPERATING VOLTAGE=35OVDC(REGULATED) HIGH AMBIENT TEMPERATURE:28°C 16 x 243.2(PTC WATTS)x 0.98=3813 CEC WATTS CUSTOMER INFORMATION: EXTREME LOW:-16'C ROOFTOP AMBIENT TEMP(Tcorr):50°C=0.82 SE380OA-US MAX OUTPUT CURRENT=16A LAURIE COHEN CONDUIT FILL(Cf[ll):1 BREAKER SIZE=16A x 1.25=20A—»20A 129 LOOMIS LN CENTERVILLE,MA 02632 • CONTINUOUS USE=Imax'1.25=15A (508)397-1360/#3108596 CONDITIONS OF.USE=Imax/Tcorr/Cfill =15A/0.82/1=18.29A CONDUCTOR SIZE FOR 18.29A DESIGNED BY: IREV#:I DATE: INSTALLATION SHALL USE MIN.#10 AWG PV-3.O • VOGESH.Y 1 0 1/19/17 eUXOEVRY IxC.66 FRMKLIN ST SVITE SIBOMIArvD.CA Ba60T BY. ESH.YADAV Dme Lncav°n:C.—3I65696SVISMISlxe:IIRI7 THESE DRAWINGS.SPECIFICATIONS.AND DESIGNS ME THE PROPERWOF SUNGEVITY INC.NO PART BID—BE COPIED OR USED FOR OR WITH ANY OTHER WOW OTHER THM THE SPECIFIC PROJECT FOR MICH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRITTEN CONSENT 1 2 3 4 5 NEC 690.5(c) NEC 690.31(E)3&4;2012 IFC 605.11.1 - INTERACTIVE PHOTOVOLTAIC POWER SOURCE PLACE THIS LABEL ON INVERTER(S)OR NEAR PLACE ON ALL JUNCTION BOXES,EXPOSED GROUND-FAULT INDICATOR(ON INVERTER(S)U.O.N.) RACEWAYS EVERY 10'AND V FROM BENDS RATED AC OUTPUT CURRENT(A): 16 AND PENETRATIONS,ADJACENT TO THE NOMINAL OPERATING AC VOLTAGE(V): 240 MAIN SERVICE DISCONNECT WARNING INVERTER 1 DC DISCONNECT PHOTOVOLTAIC SYSTEM DISCONNECT WARNING ELECTRIC SHOCK HAZARD RATED MAX POWER POINT CURRENT(Imp): - 12.1 A RATED MAX POWER POINT VOLTAGE(Vmp):. 350 A IFAGROUND FAULT IS INDICATED, PHOTOVOLTAIC POWER NORMALLY GROUNDED CONDUCTORS MAX SYSTEM VOLTAGE(Voc): 500 MAY BE UNGROUNDED AND ENERGIZED SOURCE - SHORT CIRCUIT CURRENT(Isc): 11.4 NEC 690.35(F) NEC 690.17(E) PLACE THIS LABEL AT EACH JUNCTION BOX,COMBINER BOX, PLACE THIS LABEL ON ALL DISCONNECTING DISCONNECT AND DEVICE WHERE ENERGIZED,UNGROUNDED MEANS WHERE ENERGIZED IN AN OPEN POSITION CIRCUITS MAY BE EXPOSED DURING SERVICE: WARNING WARNING ELECTRIC SHOCK HAZARD ELECTRIC SHOCK HAZARD DO NOT TOUCH TERMINALS TERMINALS ON BOTH THE LINE AND LOAD THE DC CONDUCTORS OF THIS SIDE MAY BE ENERGIZED IN THE OPEN PHOTOVOLTAIC SYSTEM ARE UNGROUNDED POSITION AND MAY BE ENERGIZED NEC 705.12(D)(2)(b) B B PLACE THIS LABEL AT P.O.C.TO SERVICE DISTRIBUTION EQUIPMENT(I.E.MAIN PANEL(AND SUBPANEL IF APPLICABLE)) NEC 690.56(c) PLACE ON RAPID SHUT DOWN DISCONNECT WHEN RAPID SHUT WARNING DOWN IS INSTALLED INVERTER OUTPUT CONNECTION PHOTOVOLTAIC SYSTEM EQUIPPED DO NOT RELOCATE THIS WITH RAPID SHUTDOWN OVERCURRENT DEVICE NEC 705.12(D)(3) PLACE LABEL ON ALL EQUIPMENT CONTAINING OVERCURRENT DEVICES IN CIRCUITS SUPPLYING POWER TO A BUSBAR OR CONDUCTORS SUPPLIED FROM MULTIPLE SOURCES. CAUTION CONTAINS MULTIPLE POWER SOURCES CUSTOMER INFORMATION: LAURIE COHEN 129 LOOMIS LN _ NOTE: CENTERVILLE,MA 02632 BACKGROUND AND LETTERING COLORS FOR (508)397-1360/#3108596 SIGNAGE/LABELS SHALL COMPLY WITH(IN ORDER OF PRIORITY)AHJ&FIRE DEPARTMENT AMENDMENTS, STATE CODE,AND ANSI GUIDELINES.THIS PAGE.IS DESIGNED BY: REV#:HPDATE:INTENDED FOR SIGNAGE/LABEL VERBIAGE ONLY. PV-4.O YOGESH.Y 0 SUNOEYIYINC.11 FRANKLIN ST SUITE 310 O-ND.CA PU07 B,YOGESlYAlAY Dxte._ THESE ORAWINGS.SPECIFICATIONS.AND DESIGNS ARE THE PROPERTY OF SUN-TY INC.NO PART SHALL BE CORED OR USED FOR ORWITH ANY OTHER WORK OTHER THAN THE SPECIFIC PROJECT FOR W lH THEY HAVE BEEN DEVELOPED WITHOUT OUR WWTTEN CONSENT 1 2 3 4 5 A A DIRECTORY LABEL PER NEC 705.10 POWER TO THIS BUILDING IS SUPPLIED FROM THE FOLLOWING SOURCES WITH DISCONNECTS LOCATED AS SHOWN _ LOCATION OF N INVERTER WITH INTEGRATED DC DISCONNECT B B LOCATION OF MAIN SERVICE PANEL INSIDE BASEMENT - - ° DRIVEWAY LOCATION OF UTILITY METER ON PEDESTAL \J C CUSTOMER INFORMATION: LAURIE COHEN 129 LOOMIS LN CENTERVILLE,MA 02632 (508)397-1360/#3108596 DESIGNED BY: REV#: DATE: PV-5A • YOGESH.Y 0 1119117 9UNOEVRY INC.ee FRANKLINSTSUITE]i00PKlAND,C-607 THESE DRAWINGS.SPECIFICATIONS.AND DESIGNS ME THE PROPERTY-SUNGEVITY INC.NO PART SHALL BE COPIED OR USED FOR ORWITH ANY OTHER WORK OTHER THAN THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRITTEN CONSENT THE ALLMAX MODULE Mono Multi Solutions 1 PRODUCTS - POWER RANGE ELECTRICAL DATA(STC) r5M-PD05:08' .255-265w pP A:P w it P 1'wPl • 250 .� 255 4 260 265 y 'L THE TSM-PD0.5:05 250-26OW JP O tp iT P IWI 0 •5 g 1 CA L i Ma V If fl 30.3 30.5 30.6 30.8 !! DIMENSIONS OF PV MODULE I.M _ m g y Po C 11 ,(AI 5.27 8.37. 8.50 open C -1V II fl V.IVI 386 I 38.1 30.2 M 383- t �F _ I ISh 1CI C i I I Ti. 889 9.00 4 9.10 MODULE r tl l Eifi %1 53 56 59 62 i M PME 'eucce•, n.c a�el x ew 9 EN:ova _j� (,I ELECTRICAL DATA(NOCT)- T T " . .. ® 1 x19 � P 20.,2 28..56 60.CELL 663 67I I 689 MULTICRYSTALUNEMODULE C V 5!!!!1 SEEMS - 'i g V IV 35.3 35.3 35 SholtC I (A) ]10 ]I] 7..27 735 oCT—d—c 801 Iffi,-,A,""b mPe,me,ez C. nb Sl o l mn _ 250-265w w �II3 MECHANICAL DATA V6 POWER OUTPUT RANGE s � Our most versatile-product c a 11 tP r60111I 16 11101156 i !Compatible ith all major BOS Components and system s tsb Ib n designs - " M d dme it 50 992 35 m 16495 3905x13)1 h I j 1GGOV UL/1000V IEC<:arlihed _ .. (t..; w 9ht - kg lal iol 16e2/Q GI 132 1013 he lHghi RCotedT p ass dGl MAXIMUM EFFICIENCY (' R k rWhl IP005081:31 Sosl h 1,.• AIPDO S�0 One of the industrysmostirustedmodulesitP65 IP6] Id •Field proven performance .I{ ^^" C bI g IPh t It T ch logy cable 40mm(0006 inch I F _ OFF#5w \.N. L.L f ,. .• r.._.m eH r .. .__. _.. _.• C eclot 11 UrI(A ph 01 POSITIVE POWER TOLERANCE eType Pe1PtY Highly reliable due to stringent quality control 1 } •OJer 30 in-house tests(UV TC HF,and main/rn0re) I-V CURVESOF PV MODULE(260W) I I A5 a 60dinr.J P001 tn�'3nufantuter f - _ TEMPERATURE RATINGS Y MAXIMUM 0.A o Wert genera io photovoltaic 1 l"�J In house tesling goes well beyond Certification requirements - TEMPERAI E A%I M RATINGS @.1 won• __ - I aI OP t 9Ce11 C(2°CI Optio IT p Tatvr 40-•85°C t �...:�� •PID resistant .. mf;,_.. :.-...�...... ._:._ y�., LI M TV SY Lem° 1000Voci'Ecl pt d ci e6 lBJe i Sa r i P ralwaC elRe ent of P.w o 1%%°C V Itoge - .1000v DC(ULI t eo Po t�.r with�� il in t .. T I hco-to su s V71"h local - '^ - Pre d the glob6 ino IS — ow 1 P......C tt t I V 0 32%/°C LM"S i Fu R i, ISA, bte le Pmwdo r er;t�bnai erJlce' I ... - eI.InreG fna�l (ia€ - Ss_C fl . 1.eacn uslom r s hm rref / Certified to withstand challenging environmental mP rd PI t n nt our in—vaIf"' "e. e ahleptad Ct In heboCwlr"rg conditions. --- I _.. •2400 Pa load - - .. .. e.ao,_ _ _T WARRANTY :. .. c T nao str no donk bie wodvd.wPtkn,nn:nPw6t cnry., i .. .. pofine, we a commltled \""-� Sa00 Pa snow load _ I tvhu ld tifjSl alegC mlluoliY t " � `°"°`r" � - GeneRcalcollaGorahcnwith _ 1 25v L P w y-„ rouli de 8opers.disidbulors ' and of Pari at5 os the y " CERTIFICATION T 10 Year Product Warranty•25 Year Linear Power Warranty (w e®°' Modular pe,4o comainei Boo e "T ac Solo,bnuolf dr shore d su-.,ess m _....._......... _._.. �._._. .._._ ..._� grvng sine ie�i©y r,gelner. 'LINEAR PERFORMANCE WARRANTY ®. PACKAGING CONFIGURATION Ia rbm wk l9lnF Add% not rmue ho 1 c vox ., m AIna YWar1 Uneor ny • m amour of a .. sTAuu on HSTRucT o '9'ri inasolar F9x . Vinasolar �Rm: ee R e,e,.e ,n r«,t eetl m,elo,le he 9owlfio l o L _ Smart Encr T iher $mart Energy Together - s - 10 Is m -zs 9Y�e Y.an CERTIFICATE OF COMPLIANCE CERTIFICATE OF COMPLIANCE Certifcate Number 20140630-E306515, Certificate Number. 20140630-E306515 Report Reference E306515-20121213 Report Reference E306515-20121213 Issue Date 20147JUNE-30' qIssue Date: ' 2014-JUNE-30: Issued to: TRINA-SOLAR LTD: - The modules with the specified construction as.below may be.marked with,its type for UL-listed fire performance products only as the below table: - 2TIAN HE RD,ELECTRONICS PARK NEW DISTRICT,' CHANGZHOU,JIANGSU 213031 CHINA, Module model' Specific construction narking TSM-xxxPD05, Superstrate: 2-4.3.6mm thick;. Module Fire_ This is to certifythat PHOTOVOLTAIC MODULES AND PANELS WITH Tsrt-xxxPD05.08' EVA: 0 Substrate*:. 1.30m thick; . Performance: ' .., ._,.- Substrate:. 0.30 mm.r.*0.69 mm _ Type 1. ... representative samples of . SYSTEM VOLTAGE RATINGS OVER 600 VOLTS thick; Refer to addendum page for Models Frame - Cross sectional dimension: 35 x 35mm, Height: 35mm,.: -Have been investigated by UL in accordance with the Thickness: 1,5rnm Standard(s)indicated on this Certificate. TSM-xxxPD05 Supers.trate: 3.2-4.36mm thick; Module.Fire - TSM-xxx FDO¢:.O5, EVA: 0.25-0.61mm thick; - - Performance: • - Standard s for Safety: UL 1703-Standard for Safety for Flat-Plate Photovoltaic TSM-xxxPD05.oe Substrate: 0.289 mm. - 0.30 mm' Type 2 . I 1 Y Y thick; Modules and Panels and ULC ORD/C1703-01 -Flat-Plate. Frame: Photovoltaic Modules and Panels. Cross sectional dimension: 35 Additional information: Seethe UL Online Certifications Directoryat : 35mm,: _ Height i 35mm, www.ul.com/database for additional information Thickness .1.5mm ' TSM xxxPD19, Superstrate: 3.2 36mm:thick;:' Module Fire - TSM YxxP.D14;08 EVA:: 0.25 0.65mm-thick; Performance: Only those products bearing the UL Listing Mark for the US and Canada should be considered as Substrates: 0.284 mm - 0.300 mm Type 8 being covered by UL's Listing.and Follow-Up Service meeting the appropriate requirements for US.. ... thick;;and Canada. p \ Frame r. The UL Listing Mark for the US and Canada generally includes:the UL in a circle symbol with"C" - Croa,s sectional:dimension - and"US"identifiers.I&the Word"LISTED";a'control number(may be alphanumeric)assigned �- - - � 4:0*35 imn, by UL;and the productcategory name(product identifier)as.indicated in the appropriat.e UL .. Height: 9 Onmf; Directory. - Thickness: 1..5 mm Look for the UL Listing Mark on the product. _ :- - - TSM-XXXPD05.1.0. Superstrate:: 3.2 4.336mm thick; Module Fire. _ - TSM-XXXPD05.18 EVA: 0.25 0.65 mn thick; Performance: :Substrate::;0.025 - 7:289 nun Type 5 .. thick; - Frame: Cross sectional dimension: 40* 3 8 mm, . Height:: 40nun,: .... ... .... Thickness: 1.8nan.. __ .. .. .. 41 Page 1 of 4 : : Page 3 of 4 i sol�r 0 0 Single Phase inverters for Norih America solar SE3000A-US/SE3800A-US/SE5000A-US/SE600DA-US _ / SE7600A-US/SE10000A-US/SEI140OA-US- SE3000A-US(SE3800A US SESOOOA US SE6000A US SE7600A US SEIOOOOA U5, SEIIQOOA US OUTPUT N m nal AC P Output 3000 3ft00 5000 6000 7600 9990 @ 08V 11400 VA SolarEdge Single Phase Inverters o .. .. ........ . �0000�2Q0� ........ 5400 @ 2u8V ]OBDO @ 20HV For North America ru Ma ALP er Output 3400 4150 6U 0 8350 3 000 VA ....._........ ...... ..4sn@z4oy..... .......... 1o9so�az4o..i. ACO p tVOlfageM n:No M - - 183:208 229 Vac SE3000A-US/SE3800A-US/.SE5000A-US 7 SE6000A-US/ "" "" "AC O tp t Voltage Min:No Ma SE760OA-US/SE1000OA-US/SE1140OA-US zu zio z64va . ............ ACF q c Mn Nom;Ma 593 60 605 Ni - = 0.. I 16 32 1 ^8 @208V" 47 5 A tC t 12 5 .I....Max Continuous o50[P ' ..@znov...!:. . -_ _.. CF01 threshold .f ...... 1.................. •..•• A f 'Ub ty Mom tog153dgP t'bCtit ryCon(gurablc nrnesholds INPUT 17 00..... :- 15350......... W..:. . ✓' ..qqyy'�S :. TranstOrmer 1255 U g nd d .. Ye. .... - 1 .. :, ._. ...0-.••o�...1.:�t(+Z7a0t�t1E p•"A"� _:3•y - .. MNMR II OnPPCP u tlIVSpa h r oItI[rtV V g PCItr t o rctgeucitti Coun. t' ( ..... I165Cd�20HV I Y050 3.3.0 .3 s1 @ 2 z048oVv ..I... ... "'.AV....d ...... 32i@208V 240 d...... .... "...... M Input C t I 95 13 lE 23 34.5 Adc " ........... ..... .. ....... 4 .................. ..... c.. ...... .. G d F It Isolatio De[ecton . .. 600ku s b 1 ....ver ........ 97.] 98.2 98 3 98 3 44I '98 :98 98 % .s .. ..... .... .... �- 97 eC-208V 1 ...97 @208V ..i CCC Weighted E(fiaencV .... 97.5.... 98 98 ,74QV,. ....97 S....I 97 s 97,5 20�V -97. % N ............ .... .. .. ......... Ngh[bme Power Consumption <25 <M1 W ADDITIONAL FEATURES - - (= Supported Commun cation)t rf- - R54H RS232'EthErnet,Lgeee(pb I)- ' - - Revenue Giade Data,ANSI C1220- - Opnonal'I _J ... ...... .. .. .... .. RaPd Shutdown NEC 2U3469012� Yes STANDARD COMPLIANCE " ULI7AI;ULI741 SA,U116998r UL199B CSA 22 t GOdC.un—itanStand.uds I. 1547 ..............., ........ FCC P t15 I B INSTALLATION "AWGP t'goda 1ue/Hof 1Os5 f � 3/4 3/4 I/12 tr1 g6/66AWG 3/44 muml1- strings/AWG 3 - III u tlsfrys it """ ... . '' 30.Sx 125x10.5/.". ....- 305x125x72/775x315x184 W U) .... .... ..................... .... ... .. ............. ... W vn t sa�M dfety Switch 512/2u2 I 54,7/24.7 N 884/401 b/k&." t Cooling Natual Convection and n eablel temal Fans(use—plac-- - -- The best choice for SolarEdge enabled systems a.' ' fan(user Integrated arc fault protection for NEC 2011 690.11 compliance Nmse " "" '" ,,„ "„ ,,.",zs„ <so„' deA. ypl eable) .... ... .......................... .... Ri n:Max.Operating Temperature - Rapid shutdown for NEC 2014690.12 - . - Rim 131 +140/uto+60(.40. ve n .a.......................................) 'F/e �.Superior Efficiency(98%)' '. - -... PmtectianRanne .......... -. .... ........... .NENtA " - �. Small,lightweight and easy to install on provided bracket I_ $_ % "' "" " "' -' ' Buil0nmodule4evel monitoring ' .rto , sL'S W N N R 2(hx 7 6 Mw-x erte st>wxa us NN 002az`m na/N s(�.'u�UYk10NNt.(for]Mgv!rvertei SE,MgAl151q}NNUa). Internet connection through Ethernet or Wireless Outd000and indoor installation - I. Fixed voltage inverter,DC/AC conversion only - - Pre-assembled Safety Switch for faster installation - Optional.-revenue grade data,.ANSI C12.20 USA-GE.RMANY-I'IALY-FRANCE-JAPAN-CHINA-AUST'RALIA-'I'HE.NETHERLANDS-UK-ISRAEL WWW:so1aredge'.Us - ' AUTHORIZATION TO MARK AUTHORIZATION TO MARK I i I . This authorizes the application of the Certification Mark(s)shown below to the models described In the Product(s)Y UL 1741 Standard for Safely for inverters.Converters,Coniroliers and Interconnection System. 1 _ - Covered section when made-in accordance with the conditions set forth in the Certification Agreement and Listing/ Equipment for Use.With Distributed Energy Resources.Second Edition Dated:January 28,2010. .. 'Report.This authorization also applies to multiple listee model(s)identified on the correlation page of the Listing t - j + CSA C22.2 107.1 Issue:2001709/01 Ed:3 General Use Power Supplies-(R2011) Report. 4I 'This document is the progeny of IntenekTesBng Services and is not transferable.The certification mark(s)may be Standard(s): UL SUBJECT 1699B,Outline of Investigation for Photovoltaic(PV)DC Arc-Fault Circuit Protection- { tapplied only at the location of the Party Authorized To Apply Mark. Issue No.2,2013l01114' j Applicant: SolarEdge Technologies Ltd Manufacturer: Jabil Circuit(Guangzhou)LTD CSA TIL M-07,Interim Certification Requirements for Photovoltaic(PV)DC Arc-Fault Protection'-Issue - Address: 6 Ha'Harash Street 45240 Address: DEV EAST DISTRICT No.1,2013/03/11 - I Hod Hasharon 128 JUN CHENG RD - I GUANGZHOU - - Product: Utility Interactive Inverter GUANGDONG 510530 CHINA jBrand Name: SolarEdge _ Country: Israel Country:. China Models:. 3 models:5E7600A-US,SE10000A-US,SE1140OA-US Contact: -Mr.Oren Bechar or Contact: Elaine Ouyang - - - _ -" E Mr.Meir Adest - 'Phone: +972 9 957 6620.N271 - Phone: 020-2805.4025/135-7023-5852 - { _ FAX: +972 9 957 6591 FAX: NA Email: oren.b@solaredge.com Email: Elaine_ouyang@jabil.com Party Authorized To Apply Mark: "Same as Manufacturer Report Issuing Office: 'Intenek,Cortland,NY,USA Control.Number: 4004590 Authorized by: .. .. Paul Klemetsfor Thomas J.Patterson,Certification Manager ' r 1 Eta Ds .. .. .. .. 1 Intertek. . This document supersedes all previous Authorizations to Mark for the noted Report Number. - IM+AuwwvVaw+IV Ma,�':1wtl+ae+eWm¢um al6+'wlukr CaaelanU iawc.itlW Vwavenlmine Cav4Keuw+VQraeawN bomam,mmemiaM ileCWm W nvb&+YaM'aoNry e+e - - I EmUeUm Uw m+mae+m cawmursmme vyaamv+l,hla+tek autlmw no fmWYymany paMmba manmme Cramin a«omancemm Na ag'eamaM,ln spy fay.aXe✓gam0ama0a ocratoneo .. - Wtivuaoel Nrs annmwlmnmw+4Uhtl+a Crentn awnvrtzeam Ve-mlcwynq o+e:aMutlo,+m wms®' Ixra su nenaWmka emaaY Uwmnwx'ar<mruoon m.n.0 - - - ' -' walmnlekoW+nme+yomw aMNeYa Aumw uw�mlAart MylwPm wemt mmnet nameMme sabwelruuvement of Na memo ma+enm prommlmeer+vanu+a+ +�1�ppreUraU ': b ra ryAur nns ann Folow+pS ua ua lx ue µv M rrvl apq+avum uw90 W.ne CwnYaOonmM nattwWnw xYn Pw - 1 .,nlamem meYa+o rat dmo oa+aa+aaavrm+,:aaa m,aa+rwaua anti sa,m+ate,n dmv mmw aar+y;m,:s mu:,s ro:wu .. Intenek Testing Services NA Inc 545 East Algonquin'Road,Arlington Heights,It.60005 - Telephone 800'345.3851 or 847.439-5667'Fax 312-283-1672 , t ATM for Report 101246759CRT-001 b Page"1 of 6 ATM Issued:22-Apr-2014 - ATM for Report 101246759CRT-001 b Page 2 of 6 'ATM Issued:22-Aprr2014. EU 1o.315t1Jam131 McMeWy 1'��w% EU i8.3,15(11-11)flaneelwr 3933 US Route 11 Cortland,NY 13045 Telephone:(6o7)753-6711 �. Facsimile: (607)756-9891 vyyyw.intertekeom SolarEdge Technologies Ltd _ Letter Report 1.01703554C RT-001 . June 20,2014 Letter Report No.101703554CRT-001 - June 20t°,2014 - Project No:G101703554: - '3-ph.lnverters: - .. Mr.Meir Adest - Ph':+972.9.95Z6620 - o SE9KUS/SE10KUS./SE20KUS when the.SolarEdge.rapid.shutdown cable labeled,"MCI-CB-xxxxx- a Technologies Ltd email:meica@solaredge.com 6 Ha'Harash St. x"which is part of kit SESOOO-RSD-xx is installed in the inverter Safety Switch where xxxxx-xx'is -6 Hara - HOD HASHARON,ISRAEL - any number;inverter part number may be followed by a suffix - - Subject: ETL Evaluation of SolarEdge.Products to NEC Rapid Shutdown Requirements - - - This:letter report completes this:portion.of the evaluation covered by Intertek Project No.G101703554. - Dear Mr.Meir Adest, If there are any questions regarding the results contained in this report,or any of the other services offered by This letter.represents the testing results of the below listed products to the requirements contained in the following.. Intertek,please do not hesitate to contact the undersigned.. standards: Please note,this Letter Report does not represent authorization for the use of any Intertek certification marks. _ National Electric Code,2014:Section 690.12 requirement for rapid shutdown. - - .. Completed by: Radne Patel. `Reviewed by:. Howard Liu This investigation was authorized by signed Quote 500534459 dated 06/10/2014.Rapid shutdown test were - Title: Engineering Team Lead Title: _ Staff Engineer perform at SolarEdge Technologies Ltd,6 Ha'Harash St HOD HASHARON,ISRAEL and witness by Intertek personal on 06/17/2014. - -- - Signature: /�CA k-Signature The evaluation covers installations consisting of optimizers and inverters with part numbers:listed below. ,Date ,...June 20 2014..... .,,Dale: .:.June 20 ,2014_. .... ... The testing done has verified that controlled conductors are limited to not more than 30 volts and 240 volt- - amperes within 10 seconds of rapid shutdown initiation. - - - Applicable products: • Power optimizers: .. .. .. .. ... ..... o PBxxx-yyy-zzzz;where xxx is any number,0-9,.up to a maximum value where xxx.=350;yyy - could be AOB or TFI;and zzzz is any combination of four letters and numbers. o OP-XXX-LV,OP-XXX-MV,OP-XXX-IV,OP=XXX-EV;where xxx is any number,0-9. - _ - o Paaa,Pbbb,Pccc,Pddd,Peee;where aaa,bbb,ccc,ddd,eee is any number,0-9 to a maximum upto,aaa=300,bbb=350 6cc=500,ddd=600;eee=700, .. o Pxxx;Pyyy,Pzzz,Pmmm,Pnnn and P000;where xxx,,yyy,:zzz is any number;0-9 to a maximum- - up to xxx=300,yyy=3SO,zzz=500;where-mmm,nnn,000 is any number,0-9 to a maximum up to mmm=405,nnn=300,000=350 - • 1-ph Inverters: _ .... .... .. o SE3000A-US/SE380OA-US/SESOOOA-US/SE606OA-US/SE760OA-05/SE10000A-US/ - - SE1140OA-US when the SolarEdge rapid shutdown cable labeled"MCI-CB-xxxxx-x" which is part of kit SE1000-RSD-xx is installed in the inverter Safety Switch where xxzzx-zx is any number inverter part number may be followed by a suffix .Pagel oft - 4 she mport u lay Itie exclusive use of Inlartoks Giant xtltl it Pror^, rty, to In taWeomant betrwen Intertek a the its G e I t,ft,,'n rIII. idlity aM Iiam g era limltod to Vie teems- - ItM c,M .,of ly the a nrenl.Intertek.to Ps no f.,i,o,dishe y.o,a then b lire Giant ie, nrdarce w nity agreement,tet any tens,exponsa or dannge o ms I,,the the It 1Ns report. f th the Gionl is aNM2zotl ro permit copyi�p or tll.,-v.of l dt repot and men only:n entlrely.Nny use of 1Mf Intertek rnme a of its marks for Ne sato or. .. .. .. .. ,M d bemonf of s,feeted raptorial,pr d t r u first 11 1 T., tl in eting Ey IIn ha The aGoIed,h Is aM tont resulR n tM1ls report aro rDlevant only Ne samplo tesletl.TM1ts - - repotUyitseVtloosmlimplyMarVremalorial.Droducf of seance is or M1ps over Veen uMer on lme2ok cerdficrtion po8ram. {rt��/�') �}/g1���/\ • - (a 'O /V e"'°""e. �_..-k .. .. .. - Page 2 of brtertok Intertek interlsk Inlel'Iek Intertek In[M'[is Intertek Testing Services,NA,Inc. SD 12.1.2(11111 ft 0)Informative Intertek Testing Services NA,Inc. - SD 12.1.2(11111/1 O)Informative - c . � =oo SolarEd a Power 0 timizer solar - o ( .-solar g p Module Add-On for North America. P300./.P320 / P400 / P405 SolarEdge Power Optimizer g P405 Module Add-On For North America (fo 66 call modules) i (°hyhp (oQ2&96 I tr t R 60<ell modules) � modules) - �_ _ moddul.les,) .INPUT Q Rated I put DC Powe�................. 30b. .. ...i,... .820.... ......'.400.... ..... ...... 405 .....,. W...... P300 / P320 / P400 / P405 Absolute Maximum input Voltage 48 BB 125 Vd (Voc at to est temperature( _ MPPT Ope ti g Range - c 8 48 _ 8 80 ( 12 S 105 ( Vd �' Max mu Short C rant Currert(Isc) SO .........1 0 1 Adc M x mum DC Input Current _ 12,5.. { 13/5 12 63 Adc ­'] Maxmum EfhcrencY .99 5 h 8....-.... ... ..ORR _..... O ervolta eCate o II .LAKE......... ..... ... ...... ' ... OUTPUT DURING OPERATION POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) Maximum Output Curtent 15 Adc ._. ... ......_.. .... .. ....... ............. ..... .... .. .. ....... Maximum Output Voltage 60 85 Vdc 0 .OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) - ^ Safety Output Voltage per Power 1 ,Optimizer _ - 1 .. Vdc J _.__... . -__-..._.__.______ .. STANDARD COMPLIANCE FCC Ptrt15 Cla's B IEC61000.6 2,IEC61000-b 3- }22 P Safety. .IEC62109.1(class II safety)UL1741 u a ' RoHS -Yes INSTALLATION SPECIFICATIONS '` -. Companble to oilers All Sola Edge Sigle Phase and Three Phase inverters 1-28x Dmensons(Wx L x HI x2 75/ 12 82x3-5/ 2- 0/ i mm/l _. Weight(mduding cables) ... ... _'...........760/..17:._.:... ... :.830/18.. 1064/ 3 .,•.,gr/Ib.""" Input Connector .MC4 Companble Output Wve Type/Co vector Double Insulated;MC4 Compatible OutpuCW re Length•,., ,_...,•. ;• ..... /3................., I.......................12139 m(ft .........:.......40 >•85/,40:+185................................... ....:.�.:�.L.F.... ...................... .... IP68/NEMA6P .... HumtdrtY........`.r. .......... .... .... .. .....................0:100-... ... ..... ... .....,i.... °�..... ' �� Xa�pn ST<power pr rFe niuou e.nbCUe of vp,o•59.pp er,°�ranma oweC: - PV SYSTEM DESIGN USING SINGLE PHASE THREE PHASE 208V : THREE PHASE,480V .A50_LAREDGE INVERTER_ a.�... .'.. `... r'.' .:. Sinn .. .................... ...... - M nim n 8 70 18 Maximum String Length :PV power optimization at the.module-level_ zs zs. so - - .:(Power Opnmgers).... .... ................. .......... ..... ... ........ ..:... ... ... :..:............. ............ .. .. Up to n%more energy- Ma _m Power per St mg._ ,,,..,,•..,,.,,. ,.,,5250• ..,•.. ....., .•..6000 .......... ,.............12750............... ...... g g - �. "Parallel'Strings of Different Lengths Yes -Superiorefficiency(99:Sh(. or Orientations - ( Mitigates al,types of module mismatch losses,from manufacturing tolerance to partial"shading. ` ................ ""'' . ) ,,rie novalpwxe aVi05wmp300� 600Ip)W"pn-tine®. .... Flexible system design for maximum space utilization. Fast installation with a single bolt Next generation maintenance with module-level monitoring Module-level:voltage shutdown for installer and firefighter safety USA CANADA-GERMANY-ITALy.-FRANCE-JAPAN-ChtNA-AUSTRAI.IA THE NE'TIOLANos"t/K-ISRAEL WWW.50laredge..US. INSTALLATION MANUAL PEGAS.US SOLAR'" LightSpeed Mounting Systems ...y� y Bonding WEEB-LUG-8.0 5/16-18 Stainless Steel Serrated - - -Y UL 467 and UL 2703 Tested&Cerh Ocd�- � • •• • •• ° Flange Bolt UL 2703 Tested 8 Certified ..r .. Tighten to 170 in-Ibs Y � Optional parts CM Array Skirt Skirt Bonding Strap Double Mounting Assembly f Roo P tc :12 Not requl ed, UL 2703 Tested&Certified h -Ilsco SBJ-Slh X< X is length) Roof pitch>2<2'12.Required - Tighten to 135 in-Ibs . UL 1703 Fire and UL 2703 Tested& _ - - Certified Class A - . y, a Product Identification _ System identification can be made by looking at the embossment on the flashing that has the " Pegasus logo,patent pending,and web address.Additionally,the Single Mounting Assembly has a Y label showing the ETL mark with the following information; Mo-unting Assembly Diagram s , .. Clamp amp ... Flange fiat .,:»r•"'•.. ..-_ - �WArig Board .. 00 Elegantly Simple Meticulously Crafted Installation Flexibility $e=ldaiyClamp« • Rail-less system works with High quality aluminum components Portrait and/or landscape - "' r' ; _,} GampAsserrsty . Bond Rlivg .. traditional 35mm or 40mm frames and stainless steel fasteners Adjustable north/south and easUwest ... ... .. .« - ..... ....... ...... • Uses standard 5116"bolts; assem- Meets UL2703 load,grounding/bond- rafter attachment positioning bles with a 1f2"socket ing and Class A,Type 1&2 system Adjustable height up to 2"for _ - • Only two parts—flashing and fire requirements leveling array tag Screw universal mountingassembly - Optimized supply chain to support spacing- ..- .Flashing y pp y pport Up to 6 toot ratters g ^g • Complete installation kit ships in rapid global capacity expansion Integrated bonding and grounding boxes of Oty. 4,12orr 16mountin Appearance skirt not required for fire compliance assemblies includingbolts&flashing code) •Easy to learn training programs designed for installer productivity :°ia nesu,.>soiarn .�v.o.,:„sso�,1,o::,:,�e.u,�•:vmro:..-.x€zrx,u�..,....,.r,.sn:. - iw,r a•,� .,.,m,� l�mn�c, s..,�"c u.,.,,nai Page ©2015 Pegasus Solar Inc www.pegasussolaccom i sales@piegasussolar.com . CLASSIFICATION . PEGASUS SOLAR" Constructional Data Report(CDR) Li titsA ead Mounting Systems -i - 1.0 Reference and Address - - Figure 1 : Overview. - <10" Report Number 101992763LAX-001 Original Issued:28-Apr-2015 Revised:16-Jun-2016 ILL 2703 Issued:2015/01/28 Ed:1 Mounting Systems,Mounting Devices,Clamping/Retention Standard(s) Devices,and Ground Lugs for Use with Flat-Plate Photovoltaic Modules and Panels - - - om�5tito�Pop1: Applicant Pegasus Solar Inc. Manufacturer 1' 100W Ohio Ave - .. f Address �<,Richmond;CA 94804 .Address 2 x 4 Rafters @ 24"OC Typ. : Country USA. Count. - - - Contact E.Kai Stephan Contact - - Phone' 408 638-9655 Phone - - .. Scale:ANTS. .. FAX _:NA .. FAX _ Email kai@pegasussolar.com - I Email - Certifications and Code Compliance Manufacturer 2 Figure 2: Mount Detail View UL SUB 2703,for electrical bonding and grounding Address Pv,Mgdule /Pegasus Clamp UL SUB 2703,Class A for Fire with Type 1 and Assembly Type 2 modules Country Contact Pegasus Base ASCE 7-05 Minimum Design'Loads for Buildings Phone Assembly and Other Structures FAX ... .. � � Email .. ... .. .:. ... ASCE 7-10 Minimum Design.Loads for Buildings:. and Other Structures Flashing_ AC286 Rain Test standard with and without sealant MCLASSFW /} .. `1 us 5/16"X 3 ill"SS Lag Bolt minimum 2 1/2"thread - penetrationsealed with Intertek - Chemlink M1(or EquivJ 5000983 - - � .. Scale:NTS .. .. _.. ... ..... ...., SYSTEM SPECIFICATIONS CONTACT INFORMATION: 'i. ncof Type Cumpos lion Shingles(Asphalt) Roof slope Range. 2:12012:12 Pegasus'Solar Inc. System Heighi off roof .<1n-m too or module 100 West Ohio Avenue' - - - Attachment Type' :5t16'SS lag boll to structural members Flashing Type 10 1t4'x 12'Aluminum base flashing Richmond,California 94604: - Maximum Mount Spacing Nimmc l 72" Maximum Mount spacing-a) 4a" (408)638-9655 - - Maximum Module Cantilav 19' - System Weight(wlthmodules) <3.5lbstsyh(typical) sailes@pegasuss6lar.com - Page i Of 124 system weight(with moduels) varies<.50 ibs/mtunt(typical) W W W:pegaSUS$Olar:COm This he on is.Ax the exclusive use of luteitek's Client and is—ided pursuant to toe,agreement between bu,hek and its client Intenek's responsiMkty.and,... .. abMin - Integratetl tiontling up to 1 W modules per array _ eobNry ate b1m to the terms and conthows of the agreement Intenek asswxs no fatality to any parry,—man to tlm Client in accordance vwth the 9 e9ream¢nt for any oaa.eq,ense or damage—ioned.by Me use o/th..report Onty Me CI ent is auNorhed 16 permit mpylrg or dstnbubon of Nis neport and. Warranty 10 Year Matenai lhen onty In its entirety Any use of the intbhe name or ohm h nks for the,sale«advertisement of Ne Rs[etl material,product«sery ce must first be Check span tables in inslallabon manuai for extreme obrdbons su h as high wind or snow. Datasheet121715v1 approved in wr,hrg ty Intenak The observebnns and test II m mpoM1 are ralBxanr only to the sample tesiatl.This report by itself does not imply mat Ale edal product,orsenipeK«has over bee:unWer en lnrenak cendipation program. J Report No.101992783LAX-001 Page 2 of 124 Issued:28-Apr-2015 Report No.101992783LAX-001 Page 3 of 124 Issued:28-Apr-2015 Pegasus Solar Inc. Revised:16-Jun-2016 Pegasus Solar Inc. Revised:16-Jun-2016 2.0 Product Description - - - 2.O Product Description, Product - PV Racking System AU Optronics(BenQ) PM Series: Brand name Pegasus Solar Li hts eed Mounting Systems AC-PM245PA2 The product covered by this report is a rail-less mounting system produced by Pegasus Solar AUO GT-PM060P00 for PV solar modules.The product line comes in black anodized parts made from stainless GT-PM250MO1 steel and aluminum. -- PM060M01 ET Solar ET series:(Monocrystalline) A The PV racking system tested is a rail-less system that has a damp assembly that bonds ET BLACK MODULE: through the bottom of the module frames through stainless steel pins in the Bottom Clamp.The ET-M660XXXBB(XXX=250,255,260,or 265) . clamp assembly is bonded with an Arm and Base which attaches directly to roof.Comer hinges ET MODULE: - 0XX WW XXX-255 260 265 or270 frame using four stainless steel screws and a back late.Each Corner ET M66 X , are bonded to the PV p 9 Hinge is bonded together with serrated bolts and threaded into tapped holes in hinges.An open ET MODULE: corner hinge at the end of a string of PV modules will have a UL 467 listed grounding devices to ET-M672XXXWW(XXX=305,310,315,or 320) Hyundai MG series: ground system.Clamp assembly bonds with module frame that are bonded to ground through H Y corner hinges to grounding device.The clamps are bonded to the stainless steel hardware and Poly-crystalline Type Description to the Arm with a bonding ring that pierces anodized coating.Base is bonded to the Arm HiS-M230MG(BK) through their respective threaded connection. HiS-M235MG(BK) 'Other Ratings HiS-M240MG(BK) The systems have only been tested for bonding,grounding,and electrical continuity,no Mono-crystalline Type mechanical load was performed and no load rating has been given. HiS-S250MG(BK) HiS-S255MG(BK) The Installer of the systems is responsible for following the installation manual for the HiS-S260MG(BK) installation of the grounding lug and shall provide an appropriate method of direct-to-earth Trina PA05 grounding according to the latest edition of the National PD05 Electrical Code,including NEC 250:Grounding and Bonding,and NEC 690:Solar P014 Photovoltaic Systems. Any local electrical codes must be adhered in addition to the Hanwha Solar One HSL 72 national electrical codes. HSL 60 -Jinko JKM series: Models- Lightspeed.Mount JKM315P-72 Model Similarity?.NA JKM265P-60 - Fuse Rating:20 A JKM270PP-60 Grounding Conductor:10 AWG Cu. - Suniva OPT 72 38 mm . Fire Class Resistance Rating: - U Solar UP-M series Ratings Class A for Steep Slope Applications when using Type 1 or 2,Listed Photovoltaic Modules. - - LG Mono X series r Class A for low slope application when using a wind deflector with a maximum of 2 1/8"air Neon Series space between the wind deflector and roof and Type 1,Listed Photovoltaic Modules - Modules added based on evaluation for bonding and grounding only with a maximum coating thickness of 26 microns Module manufacturer Model numbers .. Rene Sole JC Series: Virtus II Module 255W,260W,265W,305W, 310W,315W Other Ratings 1 Yingli Solar YGE 60 YGEU 72 Canadian Solar CS6X-P - CS6P-P CS6X-M CS6-M All Black SolarWorld SunModule Plus SunModule Pro SunModule Protect ED 16.3.15(1-Jul-16)Mandatory ED 16.3.15(1Jul-16)Mandatary Locus Product Datasheet DIAGRAM-TYPICAL CONFIGURATION ENERGY mnn nno' ago ZEN - Warded cats ®nn nee mmmmmm mmmmmm . INTERN ET al®00 f Puma mspp�yy pp mem 4' ' mm E! �F.St� .oa.rro q � MOm COO ._.� CtI("• • - ®On mnn � • • `"IYS�II�.stABi� ��� - - ELECTRICAL' •• • • • • • • • r k, :oO O00 - - - SERVICE ., ®mm mmm INVERTER(S) LGATE 120 - PV ARRAY DIMENSIONS - .: ... .. ._ .. .._ r....;..... - SOCKET METER. .. .. ' LOCUSENERGY METER BASE COMM MODULE METER MODULE v v v -- 6.95 in 0 - The LGate 120 combines a revenue-grade,solid-state power meter with an advanced communications gateway. - .�`� O •.. ,.•r.: 631.in. Thesecomponents work in conjunction to remotely monitor the performance of residential solar energy installation r^"1 regardless of panel or inverter type.The LGate 120 is a one-piece completely under glass meter which installs e -\ easily using a.standard socket base.Performance data is uploaded.in near real-time to the Locus Energy SolarOs .. •• '�•. - - - I . monitoring platform which provides a suite of tools and analytics for asset managers. - 1546 in 6.00 in Z30 in DATA COLLECTION AC energy data is collected by the meter and passed to the communications module.Additional system performance data can be collected directly from meteorological sensors and supported inverters via available.RS-485 or Zigbee connections.All data isstored in non-volatile memory and then automatically:uploaded to the SolarOS and: - -SPECIFICATIONS SolarNO,C platforms: r Processor ARM9 beaded CPU - Att cy ANSI 12.70(Cla 0.26) - OS Cus—vers onof Lhin,16,OTA brrnwaleupdads • Voltage Inputs 120-460 VAC ,r-E - - NETWORKCONNECTIVITY - Me,—Y. - 129Me RAM. .M..Curran,l t �200a etvice Type S gle phase,60 Mz - - The communications gateway inside the LGate 120 supports plug and play connectivity.through a cellular.or available. . - . Display LCD tt ae �soeket Tyne 2S ..-. �.. Ethernet network-connection.Once the unit Is installed and powered on,it will immediately begin transmitting data - without any configuration.For maximum reliability.the communications gateway will automatically route uploads - Endosura NEMA 3R Type - - between the wireless and wired connections if either of the networks are unavailable. - weight s pz' .: - ANSI 12 20 lass 0.2 - - - - Dimensions 6:95'x 6.5"x 7.5' FCC Part 15B E irpnment -20 to 60C.'11 weather __ PTCRB FEATURES warranty _ svgar,; 'tawarramv ,.4•_. .. AIST Carrier comulianee e • ANSI Cl2.20 power meter Easy:low cost installation - • RS 485 and Zigbee inputs Doesn't require entrance into the building _ caM4a,rN,-aG GSM RSass w. .. ac4mlzoac. Leam,zoaGv icmmzo-m: • GSM cellular or Ethernet connectivity Plug and play activation -485 ✓ ✓ ✓ 2 and 4 wire ✓ .. Overthe air firmware updates LCD display Mean- ✓ Zijbaa _ EtI rnet RJ 45,10/100,Dn P/St t c Single Meter Sockets -Without Bypass: "' " Single Meter Sockets -Without Bypass 125&200 Amp 125&200 Amp, Application - ' Single meter position - - - „•• - Receive ANSI C12.10 watthour meters Surface or flush mount(.see chart) _ [3= Construction - (U)204 MS68-2"Conduit a Hub 2A h'• �*OHM - +'�'•' ) NIng type EMA Type 3R U` - (U)207 MS68A-MS73+MS68 A 1/5'-1/4' ;. 927 MS73-AL Screw Type Ring 4F 2" 1 k' l 1/a' 1- t ANSI 61 gray E-coat finish 4G 21h" 2" 11h' 11/4' • - - SF-Semi Flush Mount - .r •Aluminum snap ring included Top Provision See Chan -.,dtt` � O SS-Stainless Steel Standards -Accessories. - 1w.• • UL 414 Listed • 5th Jaw Kit-50365 - -. ANSI C12.7 200ATriplex Ground-ETB200 Knockout Layouts 011(closed) U204(open) AW Hub - PerUUPC Catalog Amp serriee concoctions - _ _ .Fig,1 : Fig.2 - - Number Number Rating Jaws Type Access Line Lead Neutral ''-• To 78205142000 011 125 4 10 OH UG 114-2 0 814- 0 814- 0 - Top Provision :. e P Provision .... P n 79205142040 011 F 125 4 -10/3W OH/UG 814-2/0 814-2/0 814-2/0 : - 78205142045 Olt MS73 . 125 _4 10/3W -- OH/UG "814.2/0 814-2/0 - 814-Z/0 78205142050 011 SF 125 4 10/3W OH/UG 814-2/0 814-2/0 814-2/0 78205144030 927 - 100 7 30/4W :OH/UG 814-1/0 814-1/0 414-Z/0 - 78205156000 204 110 4 10/3W OH 86-2501VICM 86-250MCM 86-350MCM .78205156020 204F 200 • "`4 10/3W' OH 76-250MCM 86-250MCM 86-350MCM - 78205156030 204 FMS73 200 ,.4 10/3W OH 86-250MCM 16.250MCM. 86-350MCM '•78205156040 204 MS68 - 200 4 _ _10/3W - _OH _ 86-250MCM _86-250MCM e6-350MCM ID I 78205156035 204 MS68A 200 4 10/3W OH- 86-250MCM 86-250MCM 86-350MCM 78205108490 2D4 MS73 200 4 10/3W OH 86-250MCM 86-250MCM 86-350MCM 4F - - 78205156005 U204 200 4 10/3W UG 86-250MCM 86-250MCM 86-350MCM : - 4F: :4F 4F - .86. ... .... .. ..sidaa ... 4F 78205156045 U204 F 200 4 d0/3W UG 86-250MCM .�-250MCM 350MCM - _ - 78205156060 U204FMS73 200 4 -10/3W UG 86-250MCM e6-250MCM 86-350MCM L- 1 A: -. :,78205156070' UZ00 MS73 200 : 4 :' 10/3W UG 86-250MCM "86:-250MCM 86-350MCM - : - 4F 1 A 78205156140 LIND 200 7 30/4W, OH/UG 86-250MCM 86-250MCM 86-250MCM 78205156170 U207F 200 7' 30/4W UG 86-250MCM 86-250MCM 16.250MCM 78205156180 U207 MS73 - 200 7 30/4W- OH/UG -86.250MCM 86-250MCM 86-250MCM Pen/UPC Cetelog -Mmell Dimensions- UP - Knockout m Nuber Number Height Width Depth Proxnsion Layout - Fig-,3. Fig. 4 78205142000 011 12" B" 41 u' AW Hub Fin.1 - To p P ion routs - 78205142040 Oil F 12" B" 4s/e' 2"max KO Fig.1L—L- .. , 78205142045 011 MS73 .12" a" 41/a" AW Hub Fig,1- Top Provision 78205142050 Oil SF 12" B" 41/a' 2"max KO Fig.1 • - - i 78205144030 927 17" 8" ,...41/a' AW Hub, Fig.1. 78205156000 204 15" B" 4s/a". AW Hub. Fig.2 78205156020 204 F 15" 8" - 6" 2'max KO Fig.2 - 78205156030 204 F MS73 15' B" 6" 2"max KO Fig.2 78205156040 204 MS68 15" B" 4/s" -AW/2"Hub Fig.2 O. '4F .. .O .. 78205156035 204 MS68A 15" B" 41/a" AW/2"Hub Fig.2 78205io8490 204 MS73 15' 8", 4s/a" None �Fig.2 -1.2.11560.5 U294 15" 12" 41/a" None Fig.3 - - 78205156045 U204 F 15" :-12" 6" '(2)2"max KO "Fig.3 4G l^7 4F: 4G 4G- 78205156070 U204FS73 15" 12" 6" None FIg.3 / \ .a. + =qGM bC, 78205156070 U204 MS73 45" 12' 4/a" Norio ' Fig.3' - .. O 4F a 78205156140 U217 18" 12 5" AW Hub Fig.4 AIC Note: . ... .. 78205156170 U207 F � 18" 12" ��� 5" 2'/z"maz KO� Fig.4 � � For shoe circuit current - - �' 1 W ; 78205156180 U207 MS73 18" 12" 5" AW Hub Fig.4 ratings seepage 131. B-Line Data subject to change without notice.Consult local utility for area acceptance,All dimensions are in inches, Data subject to change without notice.Consult local ut ty for area acceptance.All dimensions are in inches. B-Une by V-T 5 Meter Mounting Equipment Meter Mounting Equipment 6 by E=T•N. ENERGY October 22ntl,2013 - - - This letter is to certify that the LGate 120 and LGate 320 are communication boards built into the Vision Meter 2S CL200 and 165 CL320 socket meters,respectively. Each of these meters was certified to the ANSI C1120(class 0.2%)standard by Underwriters Laboratory on June 7,2013 as part of the Vision Meter Family(Project Number 12CA71134;Job Number 1001541515,and Report Number R12CA71134- - - ANSI). ANSI C12.20 is currently recognized as the industry standard for electrical socket meters in both utility- -and PV monitoring applications.These tests cover both meter accuracy as well as,several safetystandards including electrical and environmental safety,as well as resistance to various types of .. - . mechanical shock. As electrical socket meters are generally installed and maintained by trained and certified professionals,rather than consumers,they do not fit the typical criteria for additional types of UL or IEC certification. If you have any further questions regarding the,product certification of any Locus Energy LGate-branded .. ... ... ... device,please contact us at suonortCaDlocuseneray.com. - - The Locus Energy Team Locus Energy,LLC www.locuseiiergy.com - - Classic Conduit Composition Mount QMCC Classic Conduit Mounting Instructions Installation Tools Required:tape measure,roofing bar,chalk line,stud finder,caulking gun,1 tube of appropriate sealant,drill with -.. ._ __... .. _.. __..__..--.. - ---- ..-._-...__ __... - 1/8"bit,drill or impact gun with 7/16"deep socket. ItEM NO. DESCRIPTION QLY. .THIS EDGE:TOWARDS ROOF RIDGE .1 FLASHING:v'X17'X.04G'5052.MILL 1 _ W491111111,• • • 2 OBLOQK.CONDUIT.5/16%6061-T6,MILT 1 a WASHER;SEALING,I/4'ID X 719'OD;EPDM BONDED SS `+.* 4 LAG SCREW,HEX HEAD.1/4'x 2-1/7.18-8SS I i AVAILABLE IN MILL,CLEAR ANODIZED, - AND BRONZE.ANODIZED FINISHES. .. .. CONDUIT CLAMP _ - 1.3 NOT/NCLUDE ,.•`R �r` �� r 2.3 » Choose placement of conduit mounts along path Lift composition roof tile with roofing bar,just.Slide conduit mount intodesired position.Remove 25 of conduit.Select location over center of rafter. above placement of conduit mount.. any nails that conflict with getting the mountflush 3 with front edge of shingle course.Mark cernter for ® s drilling. 9.0� .79 Quick Mount PV` TITLE:.._ �. OMCC:CLASSIC CONDUIT COMPOSITION MOUNT ana i 512E:DR WN BY: a- REV nnF-ry ww6 e A i DA E: sn4rzm3 4 .a.,w....oF�....rva„ .w��m -. - 6 :Bmrorr Using drill with 1/8"long bit,drill pilot hole into Clean off any sawdust,and fill hole with roof Lift shingle and slide conduit mount into place. 5 4 3 2 1 _ roof and rafter,taking care to drill square to the manufacturer'sapproved sealant Prepare lag bolt with sealing washer and single hole roof. clamp(not included)as shown.Insert lag through, Lag PUII—It(withdrawal)capacities(11)5)in typical cainher: hole in block,and position damp over conduit. I Lag Boll Specifications - .specinp[neat H span Part 39'thraee eeplh' L4'—er ea,I'ti—a eatenMD ainmr-2-011 IBM M OD Do.,91. P.L 'h 50 l 393 TTS '� •• • . DouSa Fr SOW, .46 1 353 202 : Ergo mann Space.Laegepole PInO(MSR 16aJ f 5°ynar) I .ds I, 353 202 .. ..He, li„Y ... m F'r 13 313 i7s IIO ' - - _ • ` ,I'll r(N,rlh) 6 .. •• • - _ ����yyy:_�,1_��I�� .ss_�_.__ -455 2a0..._��.�-. •_ SOulhart.P re Spruce Pne Er 42 M2 173 Spine Pire Frr(E of 2m'on pa,—Na—9raeea OI MSR aM MEL) .50 3B3 B. S urces Amerlcan Wood Counc 1 Nos 2005 Table 112 A 11.31 A Note,: - 1)Tlireid must be embedded iha rafter or other structural roof member. - 2)see IBC for required edge distances. Insert lag through hole inblock,and position IMPORTANT:To merman waterproofingt-s important that the alumina,llashn9(item 1)1,property placed unde—fOlcourseabwe the mooning blockwiih at least some of the - damp over conduit.Using drill with 7/16',socket, flashing extendag up under the course above the1-11 Gw ..,:rtmrv.„o hah drive lag until block is tight t - quick Mount Quick Moun r-V PV� - � 925,478-8269•www.quickmountpv.com•info@quickmountpv.com RESPECT THE ROOF - 4 2700 Mitchell Dr.;Bldg2 •'Walnut Creek,CA 94598 BI 7.2.3-8 Aug-2014,Rev 4 BI 7.2.3-8 ,Aug-2014,Rev 4' @2013 by Quick Mount PV.All rights reserved. Pegasus Solar,,,Inc. February I,2016 SN/L Mr Kai Stephan Starling Madison Lofqulst, Inc.sPegasus,Solar Inc. LightSpeed Rail-L6ssPV Panel Roof Mount System Ccrr,=ule p; Structnr�J :rmd Fo r.n;Y cng,ink=er SML Job No-: 182-15 page 2 of25 5224 South'39th Street,Phoenix,Arizona.85040 The maximum allowable tension(uplift);compression and lateral:shear forces are 575;lb, 1583 tel:(602)438-2500'fax:(602)438-.2505 R0C#291316www.smleng.com lb and 267 lb respectively. The ntaxiinum allowable moment capacity ofthe 35 rutrand 40 mm comer brackets is 348 fl-lb based on Western Teelmolobdes testing with a safety factor of 1,85, again based on ADM 2010. the 2.5 inch wide by 0.5'inch thick alununUm double mounting assembly adds 257 ft-lb of moment capacity.when used and can increase.the allowable spacing .Pegasus Solar,-:Inc. February 1,2016 as indicated in the attached tables. 100 West Ohio Avenue Richmond,CA 94804 page 1 of25 Although the downward and upward normal pressures on the PV panels were limited to ld3 psf (5400 Pa)and 50.1:psf(2400 Pa),respectively for the landscape orientation the actual maximum Attn: Mr.Kai Stephan,CEO downward pressure for the spacing shown in the attached tables never exceed 51.0 psf(2441 Pa). due to the otter limit.states controlling the design: These pressure lints comply with UL 1703. Subject: Pegasus Solar-LightSpeed Rail-Less Solar Mounting System Structural Analysis For.the portrait orientation the downward and upward.normal pressures on the P.V.panels were .... . limited to 50.1 psf(2400 Pa). SML Job No.: 182-15 The attached tables below shot'v the nnximuni allowable niount.spacing based on the interaction Dear Mr.Stephan: of the combined loading criteria of wind speed, roof"slope, and snow loads which produce reaction loads below the combined interaction ofthe allowable loads listed above. The effect of We have analyzed the Pegasus.Solar*MLigbtSpeed,rail-less photovoltaic(PV)panel'roofmoutt. seismic loads(for all design categories A-:F):has been determined to be less than the effect due system and determined that,for:the configurations and criteria described below,it is in wind or snow loads in all toad conditions and combinations. The assumed topography.is flat compliance with the applicable sections ofthe following reference documents: with a Kn=1.0. Therefore,the maximum allowable mount spacing for common load cases due to dead,wind and snow loads are,the controlling load cases. Codes: International Building Code 2006,2009&2012 Editions '. International Residential:Code 2006,2009&2012 Editions The maximum allowable cantilever at the PV panel end is the smaller of 19 inches or tL of the _ ASCE/SEI 7-05&7=10 Min. Designi Loads for Buildings*!&Other Structures maximum mount spacing as shown in the tables below. The 2.5 inch wide by'0.5-mch thick- California Building Code 2010&2013 Editions aluminum doubie-roumting assembly may be used to increase the:end cantilever by as much as 6 California Residential Building.Code 2010&2013 Editions inches. Other: Alutninum Design Manual,2005&2010 Editions Table 1.: Roof Angle to Roof Slope Conversion The Pegasus ,Solari LightSpeed rail-less ,photovoltaic ,(PV),panel roof mount system._is Roof Angle(Degrees) Roof Slope(in/in) comprised of a`6000 series aluminum clamp,assembly and corner comtectoi's,5/16-18 stainless steel bolts and nuts to fasten the:mounting system together,and the system is attached to the roof 0.0 0;12 wood rafters or truss,top chords with 5/16"diameter 18-8 stainless steel-wood lag screws. 4.8.: 1:12 .: 9.5 2:12' We tested the mounting system with the 5/16" diameter 18-8 staitless steel wood lag screws 14.0 3:12: passing through metal,flashing, two layers of composite asphalt roof:shingles, 15/32" thick 18.4: 4:12 plywood and finally penetrating 2.5"(see table note 4)into 2x SPF#2 in the center third ofthe 22.6 5:12: 1.5"wide face to model either a 1.5"wide roof truss top chord or .roof rafter.. 26.6 -6:12 The test reporl.no. 2165XD163,dated July 24, 2015,by Western Technologies shows that.the 33.7 8:12 critical failure occurs in one of three ways;pullout ofthe wood lag screws in tension from the 2x 39:8 10:12 wood t4aming,the bending failw'e,ofthe alumiinian base at the base flange in lateral loading,or , :45.0 12:12 the bending failure of the aluminum arm at the arm flange in compression loading, Maximum allowable values for these failure conditions were derived using a safety factor of 3.0 for the wood lag screw pullout failure based on]CC AC13 and safety factors between L8 and 22 for aluminum failure based on ADM 2010 on the yield and ultimate loads provided by the testing Starling Madison Lofquisy Inc. Consulting Structural and Forensic.Engineers Starling Madison.Lofquisy Inc.. Consulting Structural and.Forensic Engineers. .. 2 .. Pegasus Solar hie. Februaiy 1,2016: Pegasus Solar-Inc. February 12016 " Mr.Kai Stephan Mr.Kai Stephan Pegasus Solar-Inc.L'ightSpeed Rail-Less PV Panel Roof Mown System' Pegasus Solar' Inca LightSpeed Raif-Less PV Panel:Roof Mount System, SML Job No.: 182-15 page 14 of25 SML.Job No. 182-15 page 19 of25' Portrait Orientation'-'ASCE 7-10 -' - - "Landscape Orientation-ASCE 7-10 S... E.p.,­ Roof MM,Wind S,oe�d,V(nnph) S... E.p-le R.of B.,ic Wind Speed,V(.ph) Roof Zone Roof Zone O to7 1 48/!64 48/'64. 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De _ z.-0 _P ,-_ D i-0 grass 3 �'48 36''« 36 '"^:0 ZS to 45 1: 48 48 08 48 36 36 36 32 24 : : 1 72 72 64 -64 64 60 48 48 48 ' '` < 64- Degrees 2' 48 ..48 46 36 36 32 24 24 24 ....- .. 28 t 45 •e.. , -_ ' 'a"' W -4$' `�`36. 36 i2 24 24 29 _ Degrees `3 48n36K '�48 - .48. 72 72 64 '6A 64 48 "36, - - D to]' 1. 48/'64 48/`64 48/'60 48. 36 :.36. 32 24 _24 -. - fi4 64: :64. 64 60 48 48 36 O to7� 1 ^6.4 - ..Degrees 2 36 36 32 24 0 0 0 }; 0 �'0 2 0 48 48 _36 0 0 0 0 0 24 0 ..D. `-0- '? 0 -0 -0:-r Ou Degrees 1 36 36 36 36 36 36 32 24 24 .D :Degrees 2 Y, 36 36 : 32 24 24 00 0 0 - °� to 27' - "271 64 64 60 _60 0 48 48 48 36 D, 8 2 -'60 '66 46 -a 36 36�� 0 ��0 ~0 0.._.. - ..�.-3..a. •«24. O w ..0- 0. ,. .04� N ' A 9-,- 0<., 0 Dep'ees .. m 1 48 48 48 36 36 32 24 24 24 _ 3 *}6 0 0 0 0 0 0 .0 0'�' Zg' 45 2 48 48 36 36 32 24 24 0' 0 1 64 64 64 64 0 48 48 36 36 Degrees .n u - ... ,- .- ,,,, _ t 45 2 64 bq 64 :_60 48 48 36 0+ 0 j.. .48.-.is'�"48 36' 36' 32' 'r®.24. °'6 24 y_i°^p `"_':.':.0..: Degrees "``.Y464 m 3. ..- �64 -_. 64. ems'-60 ABA- 48-, i._36 �':;0 Starling:Madison Lofquist,Inc. :Consulting Structural and Forensic Engineers .. Starling Madison Lofquist,Inc. Consulting Stnctural and Forensic.Engineers . -14- .. .. .. _19- .. .. . Pegasus Pe Solar-Inc. February 1,2016 25900 Commercentre Drive g - Lake Forest CA 92630 USA Mr.Kai Stephan Pegasus Solar-Inc.LightSpeed Rail-Less PV Panel Roof Mount System Telephone 949.448.4100 gy Facsimile: 949.448.4111 SML Job No.:182-15 page25 of 25 www.intenek.com . Table Notes—Tabulated values are based on the following criteria: Test Verification of Conformit y. ty. 1. ASCE 7-05&7-10:Building mean"roof height=30 It maximum&Risk Category=If 2. Solar panel-maximum area=21.9 square feet(79.75 in.x 39.5 in.)Landscape&18.1 square feet(66 in.x 39.5 in.)Portrait. In the basis of the tests undertaken,thesample(s)of the below product have been found to comply with the requirements of 3. Solar panel dead load=approximately3.0 psf. the referenced specifications at the time the tests were carried out. 4. 2.5"minimum penetration:of lag screw into2x roof framing;excluding the tapered tip portion. 5. PV panel must comply with UL 1703. Applicant Name&Address: Pegasus Solar Inc. 6. The Mounting Assembly Extension tables may be used when installing through concrete 911 Bern Court,Suite 110 roof tiles where the lag screw passes through everything outlined above with the exception San lose,CA'95112 of the asphalt roof shingles. The"Coupler"used to increase the overall height of the mounting system shall be no more than 7'/2 inches imheight. All other tables apply.to a Product Description: Light Speed Mounting System. surface mounted asphalt roof shingle installation only without the"Coupler"installed. Ratings&Principle Fire class Resistance Rating: IT. In the portrait tables a indicates that the double mounting:assembly may be used to increase Characteristics: -- Class A for Steep Slope Applications when using Type f or 2 Listed Photovoltaic the spacing. The double mounting assembly shall only be used to increase the spacing Modules.Tested with a 5"gap(distance between the bottom the module frame and when located at the corner bracket or at the cantilever end as described in the previous - - ;the roof covering),per thestandard;this system can be installed at any gap allowed by paragraph. Please see the LightSpeed Mount.Installation Manual for more information.. the manufacturers installation instructions. 8: SPF#2 Spruce-Pine-Fir#2 Grade. Class A for Low Slope'Applications when using Type 1,,Listed Photovoltaic Module. Tested with a 5"-gap,'low slope system requires the use of the Pegasus wind deflector; -' with dmaximum of 2 1/8"air gap(wind deflector to roof covering).Our analysis assumes that the connections and associated hardware are installed in a Models:, Light speed Mounting System' workmanlike manner in accordance with the LightSpeed Mount Installation Manual and Brand.Name: N/A generally accepted standards of construction practice.. IviS the responsibility of the contractor to " ':"Relevant Standards: UL 2703(Section 15.2.and 15.3)'Staridard-for Safety Mounting Systems,'.Nlounting.Devices,'. verify that the strength of the roof framing.meets the minimum properties used in the tests and - .. :clamping/Retention;Devices with-Flat-Plate Photovoltaic Modules and Panels;First Edition : can safely support.the maximum imposed loads stated within this document. Starling Madison - -dated Jan.28,2015.Referencirig ULi703 Third Edition reliision date May,2015,(Section 31:2I., Lofquist,Inc.and Pegasus Solar-assume no'liability beyond what is specifically shown in this Standard for Safety for:Fiat-plate Photovoltaic,Modules and Panels: Metter. Additional information is available at the Pegasus Solar- web site, http://pegasussolar.coml - >Verificatidn Issuing Office: Intertek Testing Services NA,Inc, Murphy Drive Middleton,WI 53562.; Please feel free to.contact me at your convenience if you have'any:questions.: Date of Tests: 02/25/2015 to�02,2M/2015;08/28/2015 'Test Report Number(s):'. +:101992790MID001;,101992790MID-005 . Respectfully ours P y y j _ This verification is part of the full test report(s)and should be read in conjunction with them.This report does not automatically `y)',�'.�•r.1. '•.x' �� _ :'imply product certification completed by; Chris Zlmbrich Reviewed by:. Gregory Allen. - -~ Title: Technician 11,Fire Resistance .Title: Engineering Team Lead,Fire Resistance (,t:0561 _ r ._ ✓/f \��'..�.' Signature:; Signature ✓ Date. 08/M/2015- Date: :08/31/2016 Tres J.Warner,P.E.. etQ 440-14P Jesse Light,.P.E. ` Design Division Manager Senio r Structural Engineer /h n e f is.✓ J t tf the 7 fl t rt k td.p d.dy'. f( Ih 9 a enf between lot tl k d I Client.!t 1'k3responsrb�bfy ondl btty limited to the terms rid candihons ofthe ogreement Intertek ass me to liability to tntypany,other than 1'o the ctoot m occard—ce with the agreement,for any loss;expense ordomage occasionedby theascofahis Verification.Onlvthe Clien!'s oulhorrtedtopermit copying Ordislribution ofthis yerfcaton.Any.usefthe Intertek n meor one ofits marksfor tho-leor.dveni—ent of the tested,rnolerint product an sc,vice must first be approved in writing by Intertek:The obevationsand,tesVmspection results s - 'refe,' cd- th ✓ f_. 1 tonly,to thesumple rested/intpected.This verfcation by itse/fdoes not imply that the material,product,or service is rhos everbeen li Starling Madison Lofquist;Inc. Consulting Structural and Forensic Engineers a air an I t-lek ccait caunn pmgram- _ -25- GFT-OP-11a(24-MAR-2014) structural ENGINEERS January 19,2017 Sungevity. 66 Franklin Street Oakland,CA,94607. Subject:Structural Certification for Installation:of Solar Panels Job Number:2017-00323 _. Client:.Laurie Cohen-3108596. Address: 129 Loomis Lane,Centerville,MA02632 Attn.:To Whom It May Concern Afield observation of the condition of the existing framing system was performed by an.audit team from Sungevity. From the field observation.of.the property,the existing roof structure was observed as follows: The existing roof structure consists of: • Compos,ition Shingle over Roof;Plywood is supported by 2x8 @ 16"o.c.SPF#2 at ARRAY 1.The rafters are;sloped at approximately 20.degree and have a maximum projected horizontal span of 12 ft 8 in between load bearing walls. Design Criteria: , Applicable Codes=780 CMR,ASCE 7-05,and NDS-05 • Ground Snow Load=30 psf, Roof Snow Load=20.8 psf ARRAY 1 . • Roof Dead toad=7.4 psf ARRAY 1 " • Basic Wind Speed=110 mph;Exposure Category C As a result of the.completed field observation and design checks: w • ARRAY 1:it is adequate to support the,loading imposed b the:installation of solar panels and modules.Therefore-no structural q pp g P Y upgrades are required. I certify that the capacity of the structural roof framing-that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to meet or exceed the requirements in accordance with the 780 CMR.. :. .. if you have any questions on the above,:do not hesitate to:call: :.. �PoN oFiygSS C+ Prepared By: yN PAULK .ZACHER R, PZSE, Inc.-.Structural En ineers g C) STRUCTURAL Ti � Rzi Roseville,CA: .. . No;501,00 FSSipNAI.E�C' 8150 Sierra College Boulevard,Suite 150, Roseville, CA 95661 T 9.16.961.3960 F' 916.961:3965 W www.pzse.com. Experience. (; Integrity 1° Empawerrrenfi r. Assessor's office(1st Floor): Assessor$map and lot number t/ — SEPTIC SYSTEM MUST BE Hof THE To` Conservatio`&(4th Floor): '� ' t�a INSTALLED �� �������� v e Board of*Health(3rd floor): WITH TITLE 5 • Sewage Permit number 1/ 9 � �/ ENVI OWE"N�'AL CODElDsai�nnc� Engineering DepartTeo(3rd floor): i T01UM FIL ' £'V! W ° o��1639. Y3Y House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:309 9:30 A.M.and 1:00-2:00 P.M.only TOWN OF ,BARNSTABLE BUILDING ' INSPECTOR �- APPLICATION FOR PERMIT TO ,� _ _ � _ _ � ?� �c?�.L1'j ,,�'r� � Q[•j s �'' m — - TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a//permit according to the following information: Location �� C ✓`✓l S L �' 1. h/�G/'!/�L r.,�` Proposed Use �f'S ila %p✓7� /__ Zoning District Fire District t Name of Owner;, �.-'%�/�� Address1 Name of Builder � i�L{ err; >(-Pz,L 2A: Address //-77-'RlD�- L�%7 �Fr°T diL1 Name of Architect /v Address 4 Number of Rooms Foundation Exterior— Roofing ��.�ALI-Qz 7 s-✓) Lt; i' Floors ��P.� ��y1/Ll L Interior Heating r5- �j y Plumbing i Fireplace Approximate Cosh Area ��� 5'" �b p� Diagram of Lot and Building with Dimensions F e ,��^^�� e 10 271 jA rl S G OCCUPANCY PERMITS REOUI ED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name C Construction Si ipervisor's License x C0HFl`1, R.T `r► No 36u -Permit For 12 Story • - Y k } J. ncrle Family Dwelling Location Zoomi Lane` u'� Z Centerville Owner - ®-Rick Cohen Type of Construction Frame Plot Lot #: s March 16 , 19- 94 7 y Permit Granted_' - ---- Date of Inspection: �d Frame 19 } ` Insulation 19ID Fireplace Date Completed Z 19 1 I� L� • '« ' 1,* . i ' ^ J t A f � 5 , " N R-321.c wJa _ /kgoFq.. / 12 /40 1-.V- tlwY lYis LM.c' .. ,4 88` .• •r/•9:4�.mSwae�9 ' - - .I.boca• lA6-0 .e4 /•y �oY Gqt eq qq} `ac. 3rCat. /.wRKKTwGylO _ - //TwFAO 9- /2.RreeY B` - CnlayC rrv. '. �w� ,JGcr/oN A-Q MILLMI Pl. 1 I 1 I I 1 1 I eY f—e-z- 82- r-, r-� r-� I 126' ' qeT C T F..— I , I , I I I I 1 1 I ; I 1 I I I I CI-17-1 CAPE �' FA�r FAR FRAME ;;• •p- • lO[INOAPON 19UN CONFN RES"Oexce /29 t—N4 teuc l 3 . - D =:D s- D T La= D__ 4 i --FFfl Do 00 - - — DD Da - - - =-- • ." it --'------- DO i — iq _ I �i LEF/ S/DE EI.EVAjiaN . s,o ,w 4 f.�rsri TwuTcpJlAct. - e O w AW , : s's• Sif•O _ d. _ { FmR7cBN _ ® f. /ROA� E4C✓aTiov. Sip 4' &omo,rwe d 71 I sir a TOWN OF BARNSTABLE, MASSACHUSETTS B 'L® PEE T .; DATE i';<r'C�� ,;j ) . 94 PERMIT NO. N® 36543 APPL.CANT William Schulz • •f ADDRESScz-.7, IN6•I (STREET) (CONTR'S LICENSE) I .,..,PERMIT TO D�.L-Ld ;. welling i� S-i ie Faildly Dwelli NUMBER OF - (TYPE OF IMPROVEMENT) (--) STORY .q J DWELLING UNITS NO. (PROPOSED USE) AT (LOCATION) Loomis Lane, Centervi lE ZONING (STREET) DISTRICT_ - w'a: BETWEEN" (CROSS:STREET)r AND - .. (CROSS STREET) - - - SUBDIVISION LOT LOT BLOCK` ' SIZE BUILDING IS TO BE FT. WIDE BY ' FT;LONG BY FT.'IN HEIGHT AND SHALL CONFORM INCONSTRUCTION I. TO TYPE USE.GROUP BASEMENT WALLS OR FOUNDATION .91 �� fJ �LJ _ i,: REMARKS: Sewage �' (TYPE) 13ond AREA OR 1100 sq. ft.- 85 000.00 VOLUME / PERMIT gg.•00 (CUBIC/SQUARE FEET) ESTIMATED COST $ FEE I l OWNER nWtXXd Rick' Cohen ADDRESS 129 Loomis Lane, Centerville BUILDING DEPT, BY NT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS - OF ANY APPLICABLE SUBDIVISION RESTRICTIONS: '--� .MINIMUM OF THREE CALLA-APPROVED-- INSPECTIONS EO PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I• FOUNDATIONS OR FOOTINGS.. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL`INSTALPLUMBING IqT IONS.D. 2. PRIOR RS COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSIRE AOY TO LATH)... - 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST °THIS CARD SO IT IS' VISIBLE- FROM STREET BUILDING INSPECTION APPROVALS _PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS J 2 ll 2 �•n W C ��' 2 3 HEATING INSPECTION APPROVALS 1 ENGI RING�7EPA M NT ✓ C9ws- -� _`j BOARD OF HEALTH ; ✓/ "\ OTHER SITE PLAN REVIEW APPROVAL �'�'�•'W //' ;11�pO WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION v TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS Of GATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY=..TELEPHONE.OR:WRITTEN NOTIFICATION. t, F*ME>o TOWN OF BARNSTABLE 36543 Permit No. ................ BUILDING DEPARTMENT t TOWN OFFICE BUILDING Cash 7 Yl ��o6Sv X +u ' HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to RICHARD COHEN Address 129 Loomis Lane Centerville USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE'WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. June 6 94 Building Inspector • r �+b ` J i' TOWN OF BARNSTABLE BUILDING DEPARTMENT g sAHISTiBL :MAIL TOWN OFFICE BUILDING ajr s639. `� HYANNIS, MASS. 02601 �0■AY M. MEMO TO: Town Clerk FROM: Building Department DATE: / 4 An Occupancy Permit has beeCn� issued for, the building authorized by BuildingPermit #. .... .�" !.. ....... ......................................................................................_.........................».»» issuedto .......................................................... ................. ........»».. _............. ..».....»» i Please release the performance bond. Assessor's office(1st Floor): � �� ) A!� t of YMt T Assessor's map and lot numb / SEPTIC SYSTEM MU 0`e Conservation(4th Floor): INSTALLED IN Comp 1 ., Board of Health(3rd floor): Q// � �,�� TITLE �,��� Sewage Permit number I � L•7 wary�ntt Engineering Department(3rd floor): i ` ",�� IROM�' ENTAL C House number. /Zg•/" �S �l v"i i�i ;a.l�a�o �Y r. Defirrtive Plan Approved by Planning Board 19 t APPLICATIONS PROCESSED 8:30-9:36 A.M.and 1':00-2:00 P.M.only t ,TOWN OF BARNSTABLE f t BUILDING ' INSPECTOR C APPLICATION FOR PERMIT TO G// L ` AICL L///V TYPE OF CONSTRUCTION _ S�l�/G' �`H/LI [ L�VC AJ6 1h c 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the follow' g information: Location Q0M CA)T�/� Proposed Use Zoning District ! Fire District Name of Owner `C A� C_ o A/ r/\J Address �� A0 kr Name of Builder . �e�t�1�z� Address io 71 Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area l / Diagram of Lot and Building with Dimensions Fee N DPW h w l-aO--51/ Tv 1 S� eolNm 1�)Z/ rru <NG� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � /J Construction Supervisor's License � � /7 0 COHEN, RICK. .No 36447 `Permit For DEMOLISH -Dwelling Location 129 Loomis Lane Centerville Owner Rick Cohen Type of Construction 'Frame Plot Lot Permit Granted January 20, 19 94 _ Date of Inspection. Frame 19, Insulation 19 3 f Fireplace / 19 Date Completed /q 19 rn we+ ;anrg . r BENCHMARK 20 Fr. MINIMUM SOIL TEST (P- at 27) TOP OF FOUNDATION 10 FT. MINIMUM T--- - CLEAN SAND DATE OF SOIL TEST Q��t c r ,�". t g 9 ELEV. ,_ WITNESSED BY ;& , m _11,-.unid CONCRETE PERCOLATION RATE -"u-a MIN./INCH. COVERS 4" SCHEDULE 40 PVC PIPE 2M LAYER of OBSERVATION HOLE 1 OBSERVATION HOLE 2 MIN. PITCH 1/8" PER FT. 1/8" TO 1/2" ELEV.= 9.9_:9_ ELEV.= CONCRETE . ,. COVERS WASHED STONE 0" 12" MAX. TOP AND 4" CAST IRON PIPE tz n SUBSOIL (OR EQUAL) MINIMUM PITCH 1/4" PER FT. z ScAc" C14 FLOY,' LINE ELEV ,�._ MIN. 19" ELEV 2. "Is.5o ° o No pro , 0 0 ELEV. _ _ LEVEL _ o ° 0 150' ( ELEV = 4 5 J ELEV. �9— ° o ° ° 0 0 ° WATER AT EL.= WATER AT EL- ELEV.ELEV. = 44,G ° ° p DISTRIBUTION ° 3/4~ TO 1 1/2" ° DESIGN CALCULATIONS BOX WASHED STONE °o 00 ° NUMBER OF BEDROOMS TOO GALLON TO BE WATER TESTED o °o W c o ELEV = 41,4* _ GARBAGE DISPOSAL UNIT n n - SEPTIC TANK IF MORE THAN ONE OUTLET TOTAL ESTIMATED FLOW PRECAST LEACHING 31 3 WELL ( /_ GAL/BR./DAY X _— BR.) 44- GAL./DAY REQUIRED SEPTIC TANK CAPACITY &f 2 GAL GALLEY OR EQUIV. Z ONE ACTUAL SIZE OF SEPTIC TANK I�OQ GAL. LEACHING AREA REQUIREMENTS �Q..� INDEX SIDEWALL AREA R,Iz GAL/S.F. SEWAGE DISPOSAL SYSTEMS PROFILE ADJUST BOTTOM AREA A GAL./S.F. NOT TO SCALE LEACHING CAPACITY (BOTTOM + SIDEWALL) Z GAL./DAY Wespa ive t- Lake- RESERVE LEACHING CAPACITY ial 5 GAL./DAY BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV. = 37.4- OBSERVED WATER TABLE ( / / ) ELEV. d4Ld NOTES: .c--�x i:+ •, �:oC{c 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. .� LEGEND: TITLE 5 AND THE TOWN OF. Sagaw , at-6 RULES AND EXISTING SPOT ELEVATION OOxO REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. J 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO ,.lJ EXISTING CONTOUR ----00---- " ' ._. .�-•- `WITHIN 12 OF FINISHED GRADE. FINAL SPOT ELEVATION 0 .0 E 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME. u t tir FINAL CONTOUR 00 'UNDER--OR 4. ALL COMPONENTS OF THE SANITARY SYSTFIA SHALL BE CAPABLE OF icy /�hds-v�c� z SOIL TEST LOCATION 1M THSTAb DING- H--10 LOADING- UNLESS THEY' ARE WITHIN _ !UTILITY-POLE — TOWN WATER �Ww=--- 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE x / '\ USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREA CATCH BASIN S: 5. ANY MASONARY.UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. 6. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH P -_gr DEEDED OR ZONING REGULATIONS. OWNER •/ APPLICANT IS TO � ,r - r44 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 1 Ehi3 r 7. LeAcwi#JG AREA GAc:L.' im h/O J:+y C ` �,�. k o 'r C� Ac ra st,Q �42' cP /� SkAcw° il 004- I15� x3.P5 x e,.6 -d1r 45-Syed /o x/8 x /, 0 9�W 44— _i r 36 t 5 F% ro3S 9 Po( Fx'J tiny ces4eaa/ / � , t 46 APPROVED: BOARD OF HEALTH g Gas E LJctcr Sc r v cc 5 \ DATE - AGENT be �cloc�•►-ccl -to wcr k r n� �� sadc uT wrap hoosc �w t9 �tta ' i'V 3.L5 Lcack.nii G-ticyy �v 3 g PROPOSED PLOT PLAN r / ` C✓, s s�/o n c •- ` FOR PROJECT LOCATIt 1 l : r "'',1 Iz9 Loomis hanc, � _ t-ccvs---,�� Cc••sfsf`+1i11t (Yhas , c. ,, D L D. ONZILL PROFESSIONAL LAND SURVEYOR as• ,,, 508- BOAC 307 36 PUTTER LANE «- pr " 771-7217 WEST HYANNISPORT, MASS. 02672 01, lip .� r,r I ,;t,�:,y► s`s iv •/ t 30! DATE /e Ad A.Y STEPHEN • _ 1 REMSED WILSON No.3U116 w � �Y� .Y'�r 1 �'A.�r✓icy -,may Bcachma-k — PK Sc*: i-% / s LOCATION MAP �,�<i�� Jim Na. ISHEET OF 1 P4 ucv»cn't'— Elc.r 444 NG%JD 1��